Individual
DR. AMANDA HIESTER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
185 PINE STATE ST, LILLINGTON, NC 27546-9415
(910) 893-2986
Mailing address
101 FALDO CV, RALEIGH, NC 27603-5549
(919) 539-0473
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
28742
NC
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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