Individual
KELLI J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6061 OSGOOD AVE N, OAK PARK HEIGHTS, MN 55082-6133
(651) 689-0046
(651) 689-0049
Mailing address
6061 OSGOOD AVE N, OAK PARK HEIGHTS, MN 55082-6133
(651) 689-0046
(651) 689-0049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116122
MN
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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