Individual
DR. BRANDI SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10105 LIMA RD, FORT WAYNE, IN 46818-8657
(260) 490-6522
(260) 490-6524
Mailing address
10105 LIMA RD, FORT WAYNE, IN 46818-8657
(260) 490-6522
(260) 490-6524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022482A
IN
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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