Derek Johannson Valid NPI
Individual provider · Pharmacist · Alturas, CA
- NPI
- 1720370448
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 64275 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-05-12
- Last updated
- 2011-05-12
Practice location
432 N Main St
Alturas, CA 96101-3458
(530) 233-3113