Individual
MRS. HEATHER L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2505 1ST ST S, T0661, WILLMAR, MN 56201-4215
(320) 235-3026
Mailing address
2505 1ST ST S, T0661, WILLMAR, MN 56201-4215
(320) 235-3026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120511
MN
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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