Individual
AUSTIN JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3209 S LOUISE AVE, SIOUX FALLS, SD 57106-0704
(605) 362-1602
(605) 362-1802
Mailing address
3209 S LOUISE AVE, SIOUX FALLS, SD 57106-0704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6569
SD
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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