Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6150 EGAN DR, SAVAGE, MN 55378-2699
(952) 228-2552
Mailing address
3621 LANCASTER LN N APT 303, PLYMOUTH, MN 55441-6601
(763) 228-6484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123503
MN
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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