Derek Johannson
NPI #1720370448 in Alturas, California
Provider Information
- NPI Number
- 1720370448
- Entity Type
- Individual
- Name
- Derek Johannson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 12, 2011
- Last Updated
- May 12, 2011
Practice Location
- Address
- 432 N MAIN ST
- City
- Alturas
- State
- California
- ZIP Code
- 96101-3458
- Phone
- (530) 233-3113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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