Individual
NAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365
(541) 574-4840
(541) 574-4855
Mailing address
PO BOX 378, SOUTH BEACH, OR 97366-0378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010625
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010625
OR
Other
Enumeration date
03/07/2018
Last updated
08/20/2018
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