Individual
DR. MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3001 OAK GROVE RD, POPLAR BLUFF, MO 63901-8942
(573) 772-7169
(573) 772-7169
Mailing address
1515 N 14TH ST, POPLAR BLUFF, MO 63901-2920
(615) 972-5904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014031987
MO
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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