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Individual

JULIE MICHELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2003 LINCOLN WAY, COEUR D ALENE, ID 83814-2611
(208) 666-3032
Mailing address
10301 N STRAHORN RD, HAYDEN, ID 83835-9102
(208) 772-3498

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5964
ID

Other

Enumeration date
06/22/2007
Last updated
07/08/2007
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