Individual
MR. JOHNSON JACOB HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
410 SABLE CT, ALPHARETTA, GA 30004-8014
(770) 777-9030
Mailing address
410 SABLE CT, ALPHARETTA, GA 30004-8014
(770) 777-9030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017528
GA
183500000X
Pharmacist
10178
NC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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