MARK A JOHNSON

ROSEBURG, OR
NPI1275666463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  7026)
Additional Taxonomies1835P1200X Pharmacist, Pharmacotherapy
(Licence: OR  7026)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Mr. MARK A JOHNSON BS
2700 NW STEWART PKWY
ROSEBURG, OR 97470-1281
Phone number: 541-677-3607
Mailing Address
Mr. MARK A JOHNSON BS
326 FOX LN
ROSEBURG, OR 97470-9509
Phone number: 541-672-4490