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Individual

DR. DEREK JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3333 E MICHIGAN AVE, JACKSON, MI 49202-3853
(517) 783-0233
(517) 783-0265
Mailing address
3333 E MICHIGAN AVE, JACKSON, MI 49202-3853

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038335
MI

Other

Enumeration date
12/26/2013
Last updated
12/26/2013
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