IndividualActive
Johannes Gunawan, R.PH
NPI 1003097320 · Pharmacist · Norwalk, TN
Provider details
- NPI number
- 1003097320
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH
- Sex
- Male
- Sole proprietor
- No
- License
- 8699 (CT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
680 Connecticut Ave
Norwalk, TN 06854
Phone: (203) 854-8519
Fax: (203) 854-9526
Approximate (ZIP-level) locationGet directions
Mailing address
39 Monroe Street Apartment # 1
New York, NY 10002
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.