Individual
MR. OWEN W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4445 N. NATHAN LANE, PLYMOUTH, MN 55442
(763) 557-0377
Mailing address
8800 NORTH BROOK CIRCLE, BROOKLYN PARK, MN 55428
(763) 536-8042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111477
MN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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