Individual
DANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1339 W PALMETTO PARK RD, BOCA RATON, FL 33486-3303
(561) 362-5311
(561) 447-1170
Mailing address
1339 W PALMETTO PARK RD, BOCA RATON, FL 33486-3303
(561) 362-5311
(561) 447-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47808
FL
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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