Individual
MRS. SARAH ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-7123
Mailing address
9101 RANIER LN N, MAPLE GROVE, MN 55311-4433
(763) 315-9390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115644
MN
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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