Individual
MR. CHARLES F JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5000 WEST NATION AL AVE, MILWAUKEE, WI 53209
(414) 384-2000
Mailing address
W243N2387 DEER PARK DR, UNIT 8, PEWAUKEE, WI 53072
(980) 297-1943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9108-040
WI
183500000X
Pharmacist
PS 29521
FL
Other
Enumeration date
08/25/2006
Last updated
04/12/2012
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