Johnson, Melanie M

Johnson, Melanie M is an sole proprietor health care provider with primary practice located at 621 Eaglewood Dr , Rexburg ID 83440-5253. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Melanie M can be contacted via phone (208) 403-2364.

Contact Information

Primary practice address
621 Eaglewood Dr Rexburg ID 83440-5253
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7155 Idaho
Pharmacy Service Providers / Pharmacist 183500000X 4857624-1701 Utah

Profile Details

NPI number 1356891808
LBN Legal business name Johnson, Melanie M
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2016
Last updated Oct 8th, 2016 - about 10 years 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.

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