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Carl R Johnson

Pharmacist in Mt Pleasant, SC. Individual provider (NPI-1).

NPI number1083878490
StatusActive
Last updated in NPPESJul 15, 2008

Details

NPI
1083878490
Entity type
Individual (NPI-1)
Name
Mr. Carl R Johnson
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2008
Last updated
Jul 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist4744SCYes

Practice location

524 Dean Hall Ct
Mt Pleasant, SC 29464-6204

Phone 843-881-6840

Mailing address

524 Dean Hall Ct
Mt Pleasant, SC 29464-6204

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