Individual
MR. KENNETH PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
506 AUGSBURG AVE, BISMARCK, ND 58504-7005
(701) 258-5380
Mailing address
506 AUGSBURG AVE, BISMARCK, ND 58504-7005
(701) 258-5380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH3397
ND
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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