Individual
BRENDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 775-5595
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2312840
WI
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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