Amy Johnson

NPI #1861875171 in La Grande, Oregon

Provider Information

NPI Number: 1861875171
Entity Type: Individual
Name: Amy Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 6, 2015
Last Updated: Jul 6, 2015

Practice Location

Address: 1123 ADAMS AVE
City: La Grande
State: Oregon
ZIP Code: 97850
Phone: (541) 963-5741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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