Individual
DANIEL JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 PINE STREET, STANLEY, WI 54768-0220
(715) 644-6168
Mailing address
1120 PINE STREET, PO BOX 220, STANLEY, WI 54768-0220
(715) 644-6168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8891-040
WI
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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