Individual
MCKENZIE JOHNSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1930 SAHLSTROM DR, CROOKSTON, MN 56716-2819
(218) 281-6170
Mailing address
2301 43RD AVE S, GRAND FORKS, ND 58201-3460
(218) 289-4037
(182) 816-1722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5868
ND
Other
Enumeration date
07/13/2016
Last updated
11/17/2020
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