Individual
DR. CHRIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5909 ILLINOIS RD, FORT WAYNE, IN 46804-1159
(260) 434-3910
Mailing address
12429 MUSCOVY DR, FORT WAYNE, IN 46845-9161
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26026654A
IN
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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