Individual
AVERY CLARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
198 N 1200 E, LEHI, UT 84043-2294
(801) 653-2709
(801) 653-2706
Mailing address
14372 S PEACOCK MIDGE DR, BLUFFDALE, UT 84065-5620
(801) 718-9255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
343987-1701
UT
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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