Individual
KATIE FRALIX JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
776 DANIEL ELLIS DR, CHARLESTON, SC 29412-3094
(843) 795-9554
(843) 795-2660
Mailing address
1025 RIVERLAND WOODS PL APT 403, CHARLESTON, SC 29412-4100
(843) 532-8753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37246
SC
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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