Most Relevant Information
Provider Data
| NPI Number: | 1003037235 |
| Provider Name: | OWEN W JOHNSON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 111477 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4445 N. NATHAN LANE
PLYMOUTH
MN
55442
Practice Location Phone/Fax
| Phone: | 7635570377 |
| Fax: |
Provider Mailing Location
8800 NORTH BROOK CIRCLE
BROOKLYN PARK
MN
55428
Provider Mailing Phone/Fax
| Phone: | 7635368042 |
| Fax: |