MR. Jerry Michael Johnson, PHARMACIST

NPI #1962057802 in Burkburnett, Texas

Provider Information

NPI Number: 1962057802
Entity Type: Individual
Name: MR. Jerry Michael Johnson, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Aug 7, 2019
Last Updated: Aug 7, 2019

Practice Location

Address: 311 S AVENUE D
City: Burkburnett
State: Texas
ZIP Code: 76354-3541
Phone: (940) 569-3319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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