MRS. Karissa Lee Johnson, RPH

NPI #1427342765 in Peru, Illinois

Provider Information

NPI Number: 1427342765
Entity Type: Individual
Name: MRS. Karissa Lee Johnson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 3, 2011
Last Updated: Jun 3, 2011

Practice Location

Address: 4370 VENTURE DR
Address 2: T0929
City: Peru
State: Illinois
ZIP Code: 61354-1013
Phone: (815) 224-2408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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