Individual
MRS. KIM JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2973
(843) 572-1095
(843) 863-1475
Mailing address
142 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2973
(843) 572-1095
(843) 863-1475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7008
SC
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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