Individual
SANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2426 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2604
(612) 377-3308
(612) 377-5670
Mailing address
2426 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117538
MN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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