Individual
HEATHER GAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22240 NOVI RD, NOVI, MI 48375-4707
(248) 380-2819
Mailing address
22240 NOVI RD, NOVI, MI 48375-4707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030347
MI
Other
Enumeration date
02/12/2020
Last updated
02/24/2020
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