Individual
JOELEEN VERA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
505 S PINE RIDGE AVE, MERRILL, WI 54452-8812
(715) 536-5530
Mailing address
151285 CRIMSON RD, WAUSAU, WI 54401-2312
(918) 691-6772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17860-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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