Individual
TIMOTHY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
350 MOAPA VALLEY BOULEVARD, OVERTON, NV 89040
(702) 397-2308
(702) 397-2348
Mailing address
350 S MOAPA VALLEY BLVD, OVERTON, NV 89040
(702) 397-2308
(702) 397-2348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19232
NV
183500000X
Pharmacist
Primary
7408750-1701
UT
Other
Enumeration date
07/28/2014
Last updated
04/19/2017
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