Johnson, Betty Lou
Johnson, Betty Lou is an individual health care provider with primary practice located at 11 Central Ave S , Elbow Lake MN 56531-4101. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Betty Lou can be contacted via phone (218) 685-4471.Contact Information
Primary practice address
11 Central Ave S
Elbow Lake MN 56531-4101
Phone: (218) 685-4471
Fax: (218) 685-5209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 113477-1 | Minnesota |
Profile Details
| NPI number | 1669473765 |
|---|---|
| LBN Legal business name | Johnson, Betty Lou |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669473765 | NPPES |
| Minnesota | Other | 113477-1 | PHARMACIST LICENSE |
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