Individual
MS. MARY WYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7601 EVERGREEN WAY, EVERETT, WA 98203-6424
(425) 355-9303
Mailing address
7601 EVERGREEN WAY, EVERETT, WA 98203-6424
(425) 355-9303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13141
CO
183500000X
Pharmacist
4620
NM
183500000X
Pharmacist
Primary
60266311
WA
Other
Enumeration date
08/11/2006
Last updated
11/13/2013
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