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Individual

WADE AARON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
551 S ILLINOIS AVE, MASON CITY, IA 50401-4441
(641) 424-7014
Mailing address
551 S ILLINOIS AVE, MASON CITY, IA 50401-4441
(641) 424-7014
(641) 424-8012

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15728
IA

Other

Enumeration date
04/17/2020
Last updated
04/17/2020
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