Individual
MELINDA SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6001
(816) 347-4841
Mailing address
10336 REEDS DR, OVERLAND PARK, KS 66207-3827
(913) 526-1034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020018774
MO
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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