Larry Dewayne Johnson, RPH

NPI #1962081265 in Overton, Texas

Provider Information

NPI Number: 1962081265
Entity Type: Individual
Name: Larry Dewayne Johnson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 5, 2021
Last Updated: Apr 5, 2021

Practice Location

Address: 104 W HENDERSON ST
City: Overton
State: Texas
ZIP Code: 75684-1613
Phone: (903) 834-0154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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