Individual
AMY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 N LITCHFIELD RD, GOODYEAR, AZ 85395-1237
(623) 935-3233
Mailing address
8055 W BELL RD, PEORIA, AZ 85382-3806
(623) 979-4484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022061
AZ
Other
Enumeration date
08/25/2016
Last updated
09/06/2016
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