Individual
DANA JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6902
(928) 763-1888
Mailing address
1751 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025073
AZ
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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