Individual
AMBER R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2811 CORY CT SW APT 7, CEDAR RAPIDS, IA 52404-4030
(601) 503-7765
Mailing address
2811 CORY CT SW APT 7, CEDAR RAPIDS, IA 52404-4030
(601) 503-7765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23466
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23466
—
IA
Enumeration date
10/06/2018
Last updated
10/06/2018
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