Individual
ORSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 CROSSROADS PL, HIGH RIDGE, MO 63049-2234
(636) 376-4785
(636) 376-0714
Mailing address
1000 CROSSROADS PL, HIGH RIDGE, MO 63049-2234
(636) 376-4785
(636) 376-0714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043618
MO
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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