Individual
SUMMER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4848 COUNTY ROAD 101, MINNETONKA, MN 55345-2635
(952) 401-3814
Mailing address
10961 OSAGE ST NW, COON RAPIDS, MN 55433-4160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
127050
MN
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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