DALLISA JOHNSON

MOSCOW, ID
NPI1417874066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: ID  CT1222)
Enumeration Date2026-07-03
Last Update Date2026-07-03
Business Address
DALLISA JOHNSON CPhT-Adv
700 S MAIN ST
MOSCOW, ID 83843-3046
Phone number: 208-883-6245
Mailing Address
DALLISA JOHNSON CPhT-Adv
517 ELM ST # 194
TROY, ID 83871-0077
Phone number: 208-596-5223
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