Individual
KYLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D STUDENT
Contact information
Practice address
2198 6TH AVE, CADILLAC, MI 49601-8896
(231) 920-8119
Mailing address
2198 6TH AVE, CADILLAC, MI 49601-8896
(231) 920-8119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042533
MI
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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