Individual
DR. CANDICE NICHOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
696 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5106
(314) 830-7881
Mailing address
1226 SUMMER LYNNE DR, O FALLON, MO 63366-6311
(314) 243-9708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007035254
MO
Other
Enumeration date
09/28/2011
Last updated
05/10/2023
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