Individual
DENISE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
646 S WAVERLY RD, HOLLAND, MI 49423-9121
(616) 394-6501
(616) 394-6508
Mailing address
13895 LINCOLN ST, GRAND HAVEN, MI 49417-8820
(616) 846-0716
(616) 394-6508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302022615
RPH LICENSE NUMBER
MI
Enumeration date
11/13/2006
Last updated
07/08/2007
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