Individual
MR. HEATHER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2450 S STATE RD, IONIA, MI 48846-2140
(616) 522-9175
(616) 522-9286
Mailing address
5387 STAINES RD, SHERIDAN, MI 48884-2140
(989) 291-1171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028827
MI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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