Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1725 NORTHPORT DR, MADISON, WI 53704-3025
(608) 241-7001
Mailing address
4523 NINA LN, MIDDLETON, WI 53562-5325
(608) 215-3345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14570
WI
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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