Individual
ERIC W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
70 YELLOW CREEK RD, EVANSTON, WY 82930-5227
(307) 789-0535
Mailing address
2517 GUNLOCK DR, SALT LAKE CITY, UT 84118-2009
(801) 967-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3369
WY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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