Individual
MACKENZIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
185 SAINT ROBERT BLVD, SAINT ROBERT, MO 65584-3311
(573) 336-4323
Mailing address
1219 WINCHESTER DR, ROLLA, MO 65401-3834
(573) 391-3822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019030618
MO
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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