Individual
RONALD BERNARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
720 SNELLING AVE N, SAINT PAUL, MN 55104-1844
(651) 645-8636
(651) 647-9730
Mailing address
1280 NURSERY HILL CT, ARDEN HILLS, MN 55112-5766
(651) 639-0610
(651) 647-9730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111213-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111213-3
PHARMACY LIC
FM
Enumeration date
11/16/2006
Last updated
07/08/2007
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