Individual
KATLYNN ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 N 132ND ST, OMAHA, NE 68164-1849
(402) 431-0655
Mailing address
1301 W 6TH ST APT 3305, PAPILLION, NE 68046-3184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17256
NE
183500000X
Pharmacist
Primary
24235
IA
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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