Individual
MATTHEW ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2192
(541) 772-2330
(541) 772-4852
Mailing address
2355 W MAIN ST, MEDFORD, OR 97501-2192
(541) 772-2330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020610
OR
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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