Orson Johnson

NPI #1447531553 in High Ridge, Missouri

Provider Information

NPI Number: 1447531553
Entity Type: Individual
Name: Orson Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 1000 CROSSROADS PL
City: High Ridge
State: Missouri
ZIP Code: 63049-2234
Phone: (636) 376-4785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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