Individual
DENISE DIANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
307 S 13TH ST, SUITE 100, MOUNT VERNON, WA 98274-4100
(360) 424-2684
(360) 424-2645
Mailing address
307 S 13TH ST, SUITE 100, MOUNT VERNON, WA 98274-4100
(360) 424-2684
(360) 424-2645
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH16572
WA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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