DR. Mia Johnsonmighty, PHARMD
NPI #1861777419 in Richton Park, Illinois
Provider Information
- NPI Number
- 1861777419
- Entity Type
- Individual
- Name
- DR. Mia Johnsonmighty, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Oct 14, 2011
- Last Updated
- Oct 14, 2011
Practice Location
- Address
- 4889 SAUK TRL
- City
- Richton Park
- State
- Illinois
- ZIP Code
- 60471-1017
- Phone
- (708) 679-0598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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