Individual
MR. TIMOTHY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2855 CAMPUS DR, SUITE 180, PLYMOUTH, MN 55441-2649
(763) 577-7007
Mailing address
6228 URBANDALE LN N, MAPLE GROVE, MN 55311
(763) 331-0286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115034
MN
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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