Individual
DR. JENILEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3866
Mailing address
5785 S 5TH AVE APT D, POCATELLO, ID 83204-2348
(208) 251-3422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6554
ID
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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