Individual
DANETTE C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
25637 CONIFER RD, CONIFER, CO 80433-9078
(303) 816-4970
(303) 816-4970
Mailing address
25637 CONIFER RD, CONIFER, CO 80433-9078
(303) 816-4970
(303) 816-4972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11629
CO
Other
Enumeration date
04/05/2013
Last updated
04/09/2013
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