Individual
CHANCE LOUIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5678
Mailing address
3236 W SELTICE WAY UNIT 201, COEUR D ALENE, ID 83814-6332
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5371062
ID
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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