Individual
MRS. ELIZABETH C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 S BROAD ST, CLINTON, SC 29325-2505
(864) 833-4000
(864) 833-6459
Mailing address
4616 INDIAN CREEK RD, KINARDS, SC 29355-9353
(864) 697-5828
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15245
SC
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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