Individual
ASHLEIGH RUTH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY INTERN
Contact information
Practice address
20000 N 57TH AVE, APARTMENT H210, GLENDALE, AZ 85308-6822
(262) 909-9426
Mailing address
20000 N 57TH AVE, APARTMENT H210, GLENDALE, AZ 85308-6822
(262) 909-9426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I009600
AZ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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