Individual
MR. DOUGLAS HAROLD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
410 W 16TH AVE, TYNDALL, SD 57066
(605) 589-4418
Mailing address
41219 SD HIGHWAY 50, TYNDALL, SD 57066-5934
(605) 589-3725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3669
SD
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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