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Organization
CHET JOHNSON DRUGS, INC.
Active
Organization
CHET JOHNSON DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PAUL JOHNSON RPH (PRESIDENT)
(715) 268-8121
Entity
Organization
Contact information
Practice address
204 KELLER AVE N, AMERY, WI 54001-1036
(715) 268-8121
(715) 268-4733
Mailing address
PO BOX 17, AMERY, WI 54000-0017
(715) 268-8121
(715) 268-4733
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4369042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0490020001
PTAN
—
05
—
33100200
—
WI
Enumeration date
10/10/2006
Last updated
09/04/2024
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