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Individual

DR. JARITA MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1468 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5778
(856) 627-0111
Mailing address
1468 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5778
(856) 627-0111

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03553900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI03553900
PHARMACY LICENSE
NJ
Enumeration date
04/30/2013
Last updated
04/30/2013
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