Individual
MR. CHRIS L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1213 N GLENN ENGLISH ST, CORDELL, OK 73632-2009
(580) 832-3714
Mailing address
1213 N GLENN ENGLISH ST, CORDELL, OK 73632-2009
(580) 832-3714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12412
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200608360A
—
OK
01
—
33-7414
OK STATE BOARD OF PHARMACY
OK
01
—
3729021
NCPDP
OK
Enumeration date
08/09/2006
Last updated
03/07/2023
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