Individual
DR. JEFF JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3798 S 700 E, SUITE #7, SALT LAKE CITY, UT 84106-1150
(801) 506-6999
Mailing address
356 S 1210 E, PLEASANT GROVE, UT 84062-3273
(801) 867-8502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6601439-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6601439-1701
UTAH DIVISION OF PROFESSIONAL LICENSING
UT
Enumeration date
08/07/2014
Last updated
08/07/2014
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