Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9800 LYNDALE AVE S, BLOOMINGTON, MN 55420-4731
(952) 884-8246
Mailing address
9800 LYNDALE AVE S, BLOOMINGTON, MN 55420-4731
(952) 884-8246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118083
MN
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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