Individual
CASEY QUINN JOHNSON MINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
13034 SHRINERS BLVD STE A, BILOXI, MS 39532-8250
(228) 392-5355
(228) 392-1620
Mailing address
12749 MIDDLE BAY DR, KODIAK, AK 99615-9420
(228) 219-9888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1890
AK
183500000X
Pharmacist
Primary
E-010588
MS
Other
Enumeration date
01/15/2013
Last updated
08/05/2019
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