Individual
BLAIR C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13855 ROGERS DR, ROGERS, MN 55374-4408
(763) 428-6080
Mailing address
13855 ROGERS DR, ROGERS, MN 55374-4408
(763) 428-6080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114464
MN
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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