Jerry Michael Johnson, PHARMACIST
Pharmacist in Burkburnett, TX. Individual provider (NPI-1).
NPI number1962057802
StatusActive
Last updated in NPPESAug 7, 2019
Details
- NPI
- 1962057802
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerry Michael Johnson
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Last updated
- Aug 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 18226 | TX | Yes |
Practice location
311 S Avenue DBurkburnett, TX 76354-3541
Phone 940-569-3319 · Fax 940-569-5359
Mailing address
311 S Avenue DBurkburnett, TX 76354-3541
Phone 940-569-3319 · Fax 940-569-5359
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