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Individual

ERIC GREGORY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
UNIVERSITY OF KENTUCKY MEDICAL CTR, HQ 101, 800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-9258
Mailing address
3620 HUMPHREY LN APT 347B, LEXINGTON, KY 40502-3621
(720) 300-8528

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2003840
CO

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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