Individual
JEREMIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2707 S CAROLYN AVE, SIOUX FALLS, SD 57106-0791
(800) 285-4812
Mailing address
4504 W CHIPPEWA CIR APT 1, SIOUX FALLS, SD 57106-3752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5354
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304096
NABP
SD
Enumeration date
10/26/2006
Last updated
07/08/2007
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