Individual
JOHANNA CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1401 33RD ST S, FARGO, ND 58103
(701) 235-5511
Mailing address
950 40TH AVE S, MOORHEAD, MN 56560-6170
(218) 359-4007
(218) 359-4010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
121354
MN
183500000X
Pharmacist
Primary
RPH5641
ND
Other
Enumeration date
06/21/2014
Last updated
05/26/2018
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