Individual
HALEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4190 CITY AVE STE 428, PHILADELPHIA, PA 19131-1626
(215) 871-6380
Mailing address
4190 CITY AVE STE 428, PHILADELPHIA, PA 19131-1626
(228) 627-0477
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP459254
PA
Other
Enumeration date
04/09/2025
Last updated
04/17/2025
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