Individual
MR. JOHN KENNETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 791-4186
Mailing address
515 E HAMILTON ST, WEST SALEM, WI 54669-1626
(608) 786-2791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9017
WI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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