Individual
STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 573-3886
(509) 225-2715
Mailing address
402 S 12TH AVE, YAKIMA, WA 98902-3115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH0012485
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60167427
WA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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