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Individual

GENE O JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
603 SE BAKER ST, MCMINNVILLE, OR 97128-6429
(503) 474-3795
(503) 474-3582
Mailing address
603 SW BAKER ST., MCMINNVILLE, OR 97128-9168
(503) 474-3795
(503) 474-3582

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5943
OR

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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