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1134499379
BURTON LEROY JOHNSON
PORTSMOUTH, VA
NPI
1134499379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202009966)
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- BURTON LEROY JOHNSON rph
700 FREDERICK BLVD
PORTSMOUTH, VA 23707-3314
Phone number: 757-391-9123
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Mailing Address
-- BURTON LEROY JOHNSON rph
1800 TIMBERWOOD LN
VIRGINIA BEACH, VA 23454-2842
Phone number: 757-236-4260
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