Individual
SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 W OVERLAND RD, MERIDIAN, ID 83642-6556
(208) 917-6905
(208) 917-6906
Mailing address
795 W OVERLAND RD, MERIDIAN, ID 83642-6556
(208) 917-6905
(208) 917-6906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5161
ID
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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