Individual
DR. JEREMY EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2412 N. HERITAGE ST., KINSTON, NC 28501
(252) 522-2276
(252) 522-0009
Mailing address
2412 N. HERITAGE ST., KINSTON, NC 28501
(252) 522-2276
(252) 522-0009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16961
NC
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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