Most Relevant Information
Provider Data
| NPI Number: | 1003454620 |
| Provider Name: | KATLYN JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 42241 |
Most Important Dates
| Enumeration Date: | 12/13/2019 |
| Last Updated: | 12/13/2019 |
Provider Practice Location
1200 SAM RITTENBERG BLVD
CHARLESTON
SC
294075006
Practice Location Phone/Fax
| Phone: | 8435734776 |
| Fax: |
Provider Mailing Location
2056 PROMENADE CT
MT PLEASANT
SC
294667231
Provider Mailing Phone/Fax
| Phone: | 8438601856 |
| Fax: |