Individual
CRAIG D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 4TH ST S, SUITE 104, FARGO, ND 58103-1929
(701) 237-0322
(701) 237-0417
Mailing address
1628 BIRCHWOOD DR, WEST FARGO, ND 58078-3426
(701) 282-9359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3758
ND
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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