| NPI | 1992936033 |
|---|---|
| Former Name | CHERYL LYNNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 40315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 09434) |
| 183500000X Pharmacist (Licence: MI 5302043909) | |
| 183500000X Pharmacist (Licence: VA 0202214832) | |
| 183500000X Pharmacist (Licence: KY 018189) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-07-21 |