Individual
GLORIA ASUQUO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3500 WAKE FOREST RD, RALEIGH, NC 27609-7307
(919) 236-3676
Mailing address
3500 WAKE FOREST RD, RALEIGH, NC 27609-7307
(919) 236-3676
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18365
NC
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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