Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11912 WHITMORE LAKE RD, WHITMORE LAKE, MI 48189-9372
(734) 449-0004
Mailing address
11735 HAMBURG RD, WHITMORE LAKE, MI 48189-9757
(810) 275-4217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034997
MI
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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