Individual
MR. JOSHUA ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1407 S 4TH ST, DEKALB, IL 60115-4605
(815) 758-0911
(815) 758-2669
Mailing address
1407 S 4TH ST, DEKALB, IL 60115-4605
(815) 758-0911
(815) 758-2669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288819
IL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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