Individual
STEVEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1071 CY AVE, CASPER, WY 82604-3515
(307) 234-9379
Mailing address
3920 W 45TH ST, CASPER, WY 82604-4553
(307) 259-3327
(307) 472-5008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1971
WY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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