Individual
KAITLYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
525 MORGAN ST, DAVENPORT, WA 99122-5213
(509) 725-1151
(509) 725-3028
Mailing address
692 LONE PINE RD, OAKESDALE, WA 99158-9642
(509) 995-4788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60473503
WA
Other
Enumeration date
08/26/2022
Last updated
06/11/2025
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