Individual
DR. JESSICA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-1983
Mailing address
7537 OAKHILL AVE, WAUWATOSA, WI 53213-1724
(262) 873-0713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17148-40
WI
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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