Individual
JAMES KENNETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
725 N 5TH ST, SUITE 100, JACKSONVILLE, OR 97530-9873
(541) 899-7948
(541) 899-7946
Mailing address
725 N 5TH ST, SUITE 100, JACKSONVILLE, OR 97530-9873
(541) 899-7948
(541) 899-7946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0008729
OR
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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