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NPI 1689020596

IndividualActive

Amanda Johnson, PHARMD.

NPI 1689020596 · Pharmacist · Scott Depot, WV

Provider details

NPI number: 1689020596
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD.
Sex: Female
Sole proprietor: No
License: RP0009343 (WV)

Practice location

302 Great Teays Blvd

Scott Depot, WV 25560-9349

Phone: (303) 757-8952

More WV providers

Mailing address

302 Great Teays Blvd

Scott Depot, WV 25560-9349

Registry dates

Enumerated: 2016-05-10
Last updated: 2016-05-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Johnson, PHARMD. — NPI 1689020596, Scott Depot, WV | NPI Central