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Individual

MARY ELISABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
546 N GRAND AVE, SUN PRAIRIE, WI 53590-9819
(608) 825-2678
Mailing address
546 N GRAND AVE, SUN PRAIRIE, WI 53590-9819
(608) 825-2678

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17962-40
WI

Other

Enumeration date
02/26/2020
Last updated
02/26/2020
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