Individual
TERRY SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
216 WASHBURNE AVE, PAYNESVILLE, MN 56362-1643
(320) 243-3781
(320) 243-2005
Mailing address
216 WASHBURNE AVE, PAYNESVILLE, MN 56362-1643
(320) 243-3781
(320) 243-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114757
MN
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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