Gary P Johnson

NPI #1770667560 in Windsor, New York

Provider Information

NPI Number: 1770667560
Entity Type: Organization
Organization Name: Gary P Johnson
Primary Specialty: Pharmacy
Enumeration Date: Oct 25, 2006
Last Updated: Feb 21, 2008

Practice Location

Address: 112 MAIN ST
City: Windsor
State: New York
ZIP Code: 13865
Phone: (607) 655-1443

Authorized Official

Name: MR. GARY PAUL JOHNSON, RPH
Title: OWNER
Phone: (607) 655-1443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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