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1710258652
DEWAYNE JOHNSON
FAIRFAX, VA
NPI
1710258652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202209750)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
-- DEWAYNE JOHNSON PharmD.
10320 MAIN ST
FAIRFAX, VA 22030-2410
Phone number: 703-591-1025
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Mailing Address
-- DEWAYNE JOHNSON PharmD.
10320 MAIN ST
FAIRFAX, VA 22030-2410
Phone number:
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