Individual
MR. CARY DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10402 AL HIGHWAY 168, BOAZ, AL 35957-1951
(256) 593-6546
(256) 593-3137
Mailing address
10402 AL HIGHWAY 168, BOAZ, AL 35957-1951
(256) 593-6546
(256) 593-3137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7016
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001098
—
AL
05
—
1299553
—
LA
Enumeration date
04/06/2010
Last updated
04/08/2010
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