Individual
ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-0520
Mailing address
1900 SOUTH AVE, LML-001, LA CROSSE, WI 54601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16298-40
WI
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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