Individual
WILLIAM PATRICK JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
505 JEFFREY PINE CT, O FALLON, IL 62269-2554
(618) 628-3140
Mailing address
505 JEFFREY PINE CT, O FALLON, IL 62269-2554
(618) 628-3140
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18591
IA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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