MR. Shane P Johnson, PHARMD

NPI #1306172507 in Spring Green, Wisconsin

Provider Information

NPI Number
1306172507
Entity Type
Individual
Name
MR. Shane P Johnson, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Oct 22, 2009
Last Updated
Oct 22, 2009

Practice Location

Address
208 E JEFFERSON ST
ZIP Code
53588-8002
Phone
(608) 588-2541

Specialties & Taxonomy Codes

Specialty
Pharmacist

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