Individual
AMBER JORDAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(407) 303-8110
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-7895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
30447
NC
183500000X
Pharmacist
Primary
PS64121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30447
PHARMACIST LICENSE
NC
01
—
PS64121
PHARMACIST LICENSE
FL
Enumeration date
07/05/2021
Last updated
07/15/2022
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