Individual
MICHAEL SCOTT JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
500 SW RAMSEY, GRANTS PASS, OR 97527-5554
(541) 472-7212
Mailing address
1490 BRITTANY CT, GRANTS PASS, OR 97527-5776
(541) 955-8824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2998
MT
183500000X
Pharmacist
Primary
9798
OR
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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