Individual
MR. JEROME P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
108 S MAIN ST, HOWARD, SD 57349-0250
(605) 772-5581
(605) 772-5571
Mailing address
PO BOX 481, 218 E COLLEGE AVE, HOWARD, SD 57349-0481
(605) 772-4286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SD4073
SD
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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