Individual
KACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(720) 723-6659
Mailing address
11966 E MAPLE AVE, AURORA, CO 80012-1210
(720) 301-9879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0024545
CO
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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