Doctor Name: | MRS. MARY E JOHNSON |
NPI Number: | 1558790188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT, WPQC CERTIFIED |
License Number: | 330101051154461 |
Business Practice Address: | 405 Water St Prairie Du Sac, WI - 535781126 |
Business Phone Number: | 6086433396 |
Business Fax Number: | 6086434361 |
Mailing Address: | 405 Water St, PRAIRIE DU SAC |
State: | WI |
Postal Code: | 535781126 |
Phone Number: | 6086433396 |
Fax Number: | 6086434361 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 330101051154461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |