Johnson, Michelle Ann

Johnson, Michelle Ann is an individual health care provider with primary practice located at 23122 Saint Francis Blvd Nw , St Francis MN 55070-9807. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Michelle Ann can be contacted via phone (763) 753-0222.

Contact Information

Primary practice address
23122 Saint Francis Blvd Nw St Francis MN 55070-9807
Fax: (763) 753-3994
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1164495 Minnesota

Profile Details

NPI number 1811992381
LBN Legal business name Johnson, Michelle Ann
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811992381 NPPES
Minnesota Other 1164495 BOARD OF PHARMACY

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