Individual
AMANDA NOEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362
(360) 535-9419
Mailing address
PO BOX 1263, BELFAIR, WA 98528-1263
(360) 535-9419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60871309
WA
Other
Enumeration date
12/01/2015
Last updated
10/01/2018
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