Individual
LAUREN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
420 W 4TH ST STE 100, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Mailing address
420 W 4TH ST STE 100, MISHAWAKA, IN 46544-1948
(574) 307-7673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028878A
IN
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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