Individual
SHELLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5190 W 120TH AVE, WESTMINSTER, CO 80020-3332
(303) 410-1105
Mailing address
5023 SAGE BRUSH CT, BROOMFIELD, CO 80023-3981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16965
CO
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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