DR. Jessa Johaneson, PHARM.D.

NPI #1366842569 in Fairmont, Minnesota

Provider Information

NPI Number: 1366842569
Entity Type: Individual
Name: DR. Jessa Johaneson, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Aug 26, 2014
Last Updated: Aug 26, 2014

Practice Location

Address: 1123 E BLUE EARTH AVE
City: Fairmont
State: Minnesota
ZIP Code: 56031-4226
Phone: (507) 235-5965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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