Individual
RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, MBA
Contact information
Practice address
12266 DEPAUL DRIVE, SUITE 105, BRIDGETON, MO 63044
(314) 344-7300
(314) 344-6179
Mailing address
12266 DEPAUL DRIVE, SUITE 105, BRIDGETON, MO 63044
(314) 344-7300
(314) 344-6179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040723
MO
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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