Individual
MRS. JULIE ANNE HANLON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
204 KELLER AVE N, AMERY, WI 54001-1036
(715) 268-8121
(715) 268-4733
Mailing address
613 105TH ST, AMERY, WI 54001-1802
(715) 268-6645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12111-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12111-40
STATE PHARMACIST LICENSE
WI
Enumeration date
12/05/2021
Last updated
12/05/2021
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