Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MPH
Contact information
Practice address
1175 MADISON AVE, MANKATO, MN 56001-5227
(507) 625-1791
Mailing address
1175 MADISON AVE, MANKATO, MN 56001-5227
(507) 625-1791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125918
MN
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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