Individual
KRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 462-1603
Mailing address
216 W 1050 N, CHESTERTON, IN 46304-8806
(219) 331-4534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018880A
IN
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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