Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11602 W 64TH AVE, ARVADA, CO 80004-4313
(303) 421-5237
Mailing address
11602 W 64TH AVE, ARVADA, CO 80004-4313
(303) 263-5265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15289
CO
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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