Individual
DR. MICHELLE ANN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
23122 SAINT FRANCIS BLVD NW, ST FRANCIS, MN 55070-9807
(763) 753-0222
(763) 753-3994
Mailing address
2833 LAPORT DR, MOUNDS VIEW, MN 55112-5830
(763) 786-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1164495
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164495
BOARD OF PHARMACY
MN
Enumeration date
06/20/2005
Last updated
07/08/2007
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