Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3411 E KOLONELS WAY, PORT ANGELES, WA 98362-9089
(360) 452-1244
Mailing address
10827 ROGNALDSON RD, BRAINERD, MN 56401-5028
(218) 838-5435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60981975
WA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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