Individual
JEANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
302 S LEONARD ST, LIBERTY, MO 64068-2519
(720) 281-8301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045270
MO
183500000X
Pharmacist
18310
CO
Other
Enumeration date
02/04/2015
Last updated
04/06/2017
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