Individual
DANIEL SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
2014 N MICHIGAN ST, PLYMOUTH, IN 46563-1048
(574) 936-8388
Mailing address
2014 N MICHIGAN ST, PLYMOUTH, IN 46563-1048
(574) 936-8388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027421A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26027421A
INDIANA STATE BOARD OF PHARMACY
IN
Enumeration date
02/01/2018
Last updated
02/01/2018
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