Individual
MR. STEPHEN CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
654 GREY EAGLE CIR S, COLORADO SPRINGS, CO 80919-1612
(719) 380-5450
Mailing address
654 GREY EAGLE CIR S, COLORADO SPRINGS, CO 80919-1612
(719) 380-5450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16489
CO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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