Individual
LISA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
121 E BROADWAY ST, MT PLEASANT, MI 48858-2312
(989) 773-5544
(989) 775-7622
Mailing address
121 E BROADWAY ST, MT PLEASANT, MI 48858-2312
(989) 773-5544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027343
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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