Individual
MR. WILLIE TREMAINE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECH
Contact information
Practice address
3720 TUSCARAWAS ST W, CANTON, OH 44708-5619
(330) 478-8129
Mailing address
3720 TUSCARAWAS ST W, CANTON, OH 44708-5619
(330) 478-8129
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
OH
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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