Individual
BARRY D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 421-1779
Mailing address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 421-1779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15082-40
WI
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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