Individual
LESLIE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2900 PIEDMONT AVE, DULUTH, MN 55811-2915
(218) 733-1110
(218) 733-1112
Mailing address
2900 PIEDMONT AVE, DULUTH, MN 55811-2915
(218) 733-1110
(218) 733-1112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110882-0
MN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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