Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2358
Mailing address
129 AVENIDA MIRAFLORES, TIBURON, CA 94920-1403
(415) 444-2358
(415) 444-2077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26115
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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