Individual
MARC PHILIP JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1101 MAIN ST, BROCKTON, MA 02301-6828
(508) 580-3164
(508) 580-3270
Mailing address
110 OLD FARM RD, BRIDGEWATER, MA 02324-3451
(508) 697-2591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23277
MA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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