Patrice Lanae Johnson, RPH, PMP

NPI #1497340236 in Crestwood, Illinois

Provider Information

NPI Number: 1497340236
Entity Type: Individual
Name: Patrice Lanae Johnson, RPH, PMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH, PMP
Enumeration Date: Mar 3, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 13601 KENTON AVE
City: Crestwood
State: Illinois
ZIP Code: 60418-1938
Phone: (708) 926-7270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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