Individual
MR. DAVID WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
203 E SAINT PAUL ST, SPRING VALLEY, IL 61362-2139
(815) 664-5050
(815) 663-4069
Mailing address
203 E SAINT PAUL ST, SPRING VALLEY, IL 61362-2139
(815) 664-5050
(815) 663-4069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362982894001
—
IL
Enumeration date
11/15/2006
Last updated
04/07/2026
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