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Individual

MATTHEW JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
204 KELLER AVE N, AMERY, WI 54001-1036
(715) 268-8121
(715) 268-4733
Mailing address
PO BOX 17, AMERY, WI 54001-0017
(715) 268-8121
(715) 268-4733

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11513-040
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
11513-040
WI

Other

Enumeration date
01/22/2013
Last updated
04/22/2026
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