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
- City
- Spring Green
- State
- Wisconsin
- ZIP Code
- 53588-8002
- Phone
- (608) 588-2541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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