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Individual

DR. BRIAN LEE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-6333
Mailing address
3402 DEWAR LN, TURLOCK, CA 95382-9670
(209) 667-4760

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
56142
CA

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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