Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Wallace Allen Johnson Jr.

Individual provider Pharmacist · NPI 1659480838

Miss. Wallace Allen Johnson Jr. is a Pharmacist in Mount Airy, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
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Practice location Address checks out

933 Old Rockford St Ste 3
Mount Airy, NC 27030-5356
Phone: (336) 789-0424
Fax: (336) 789-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 07541 (NC)

Record details

NPI number1659480838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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