Individual
DR. KAITLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(616) 502-9383
Mailing address
19343 ROSEMARY RD, SPRING LAKE, MI 49456-9664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411800
MI
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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