Individual
ZACHARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 SW LEE BLVD, LAWTON, OK 73501-5721
(580) 353-1940
Mailing address
1016 SW LEE BLVD, LAWTON, OK 73501-5721
(580) 353-1940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14244
OK
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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