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Individual

PATRICK JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, MPH

Contact information

Practice address
151 W LAKE ST SUITE 1100 CAMPUS DELIVERY 8031, FORT COLLINS, CO 80523-7046
(970) 491-1402
Mailing address
151 W LAKE SUITE 1100 CAMPUS MAIL DELIVERY 8031, FORT COLLINS, CO 80523-7046
(970) 491-1402

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020456
CO
183500000X
Pharmacist
RPH-0011220
OR

Other

Enumeration date
03/08/2010
Last updated
04/11/2018
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