Individual
ANN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 MAYWOOD AVE, 21 CARKOSKI COMMONS, MANKATO, MN 56001-7008
(507) 389-2483
(507) 389-2206
Mailing address
16 SNOWBIRD CT, NORTH MANKATO, MN 56003-1637
(507) 625-8658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1138492
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138492
LICENSE
MN
Enumeration date
11/18/2005
Last updated
02/09/2017
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