Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2 FOREST PARK DR STE A, HOLIDAY ISLAND, AR 72631-9229
(479) 239-2121
(479) 232-2122
Mailing address
2 FOREST PARK DR STE A, HOLIDAY ISLAND, AR 72631-9229
(479) 239-2121
(479) 232-2122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08439
AR
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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