Individual
ELIZABETH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 868-3492
(814) 868-3405
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 868-3492
(814) 868-3405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP447479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP447479
PHARMACIST
PA
01
—
RPI007174
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
07/01/2020
Last updated
07/01/2020
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