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Individual

DR. BRANDON LEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
711 JORIE BLVD, OAK BROOK, IL 60523-4425
(630) 891-5341
Mailing address
120 E CULLERTON ST, UNIT 404, CHICAGO, IL 60616-1482
(630) 785-2348

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-292478
IL

Other

Enumeration date
11/09/2010
Last updated
11/09/2010
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