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1679169866
DEATRA L JOHNSON
JACKSONVILLE, FL
NPI
1679169866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS52182)
Enumeration Date
2020-12-12
Last Update Date
2020-12-12
Business Address
Dr. DEATRA L JOHNSON PharmD
6005 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217-2139
Phone number: 904-733-7600
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Mailing Address
Dr. DEATRA L JOHNSON PharmD
11502 TORI LN
JACKSONVILLE, FL 32218-8833
Phone number: 904-502-2851
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