Individual
DR. NOAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2425 13TH AVE S, FARGO, ND 58103-3749
(701) 232-4872
Mailing address
1409 16 1/2 ST S UNIT A, FARGO, ND 58103-3944
(701) 516-4802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6576
ND
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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