Individual
TRISHA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 S RIVERFRONT DR, MANKATO, MN 56001-2484
(507) 446-2524
Mailing address
200 COPPERFIELD DR, MANKATO, MN 56001-6474
(507) 217-6394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123764
MN
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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