Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
724 S 1600 W, MAPLETON, UT 84664-4347
(801) 515-6048
Mailing address
152 S 975 W, MAPLETON, UT 84664-4331
(801) 885-1147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
271638-1701
UT
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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