Provider Demographics
NPI:1194866442
Name:JOHNSON, FRANCES CASEY LIVERMAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:CASEY LIVERMAN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 BENNETT DR
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-2358
Mailing Address - Country:US
Mailing Address - Phone:919-291-5644
Mailing Address - Fax:
Practice Address - Street 1:126 N RAIFORD ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2833
Practice Address - Country:US
Practice Address - Phone:919-965-2316
Practice Address - Fax:919-965-2400
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist