Individual
MR. TIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
190 SOUTHGATE DR, AITKIN, MN 56431-7407
(218) 927-2466
(218) 927-2597
Mailing address
PO BOX 348, 190 SOUTHGATE DR, AITKIN, MN 56431-0348
(218) 927-2466
(218) 927-2597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113724
MN
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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