Provider Demographics
NPI:1922324995
Name:JOHNSON, WENDY ADKINS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ADKINS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WHITFIELD STREET
Mailing Address - Street 2:PO BOX 776
Mailing Address - City:ENFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27823
Mailing Address - Country:US
Mailing Address - Phone:252-445-3639
Mailing Address - Fax:252-445-4449
Practice Address - Street 1:132 WHITFIELD ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NC
Practice Address - Zip Code:27823-1340
Practice Address - Country:US
Practice Address - Phone:252-445-3639
Practice Address - Fax:252-445-4449
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist