Individual
SAMANTHA JO JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 S PLUM ST, FRUITA, CO 81521-2524
(970) 858-9508
Mailing address
618 COBBLESTONE CT, CANON CITY, CO 81212-2083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19911
CO
Other
Enumeration date
07/29/2013
Last updated
01/20/2021
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