Individual
DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
1717 E WEST RD, CALUMET CITY, IL 60409-5414
(708) 730-3101
Mailing address
3205 N HOYNE AVE APT 3B, CHICAGO, IL 60618-6336
(708) 921-7535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295198
IL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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