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1962001727
AVERY CLARK JOHNSON
LEHI, UT
NPI
1962001727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 343987-1701)
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
AVERY CLARK JOHNSON PharmD
198 N 1200 E
LEHI, UT 84043-2294
Phone number: 801-653-2709
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Mailing Address
AVERY CLARK JOHNSON PharmD
14372 S PEACOCK MIDGE DR
BLUFFDALE, UT 84065-5620
Phone number: 801-718-9255
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