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CATHERINE HEEN JOHNSON PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1366736647

Individual Registrant:
 CATHERINE HEEN JOHNSON PHARM D
Gender: F
Sole Proprietor

Location and contact information for practice:
21615 S DIAMOND LAKE RD T-1456 ROGERS, MN 55374-8893 US
Tel: 763-482-6392  Fax: --

Contact information for business:
21615 S DIAMOND LAKE RD T-1456 ROGERS, MN 55374-8893 US
Tel: 763-482-6392  Fax: --

Registration Information:
NPI: 1366736647
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MN115956

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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