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Individual

JODI MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2304 E LINCOLNWAY, CHEYENNE, WY 82001-5416
(307) 635-0241
Mailing address
258 N JOHNSON ST, LARAMIE, WY 82070-6128
(307) 760-0605

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3465
WY

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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