Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6015 E BROWN RD, MESA, AZ 85205-4452
(480) 325-5869
Mailing address
6015 E BROWN RD, MESA, AZ 85205-4452
(480) 325-5869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019979
AZ
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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