Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E PARKS HWY, WASILLA, AK 99654-7349
(907) 631-0300
Mailing address
1721 E PARKS HWY, WASILLA, AK 99654-7349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2278
AK
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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