Individual
JENNIFER L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
510 2ND ST SE, PINE CITY, MN 55063-1706
(651) 982-7404
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7404
(651) 982-7236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120881
MN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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