John Kenneth Johnson, R.PH. Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1588672950
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 9017 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-08
Practice location
700 West Ave S
La Crosse, WI 54601-4783
(608) 791-4186