Most Relevant Information
Provider Data
| NPI Number: | 1003531484 |
| Provider Name: | ERIC JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 16298-40 |
Most Important Dates
| Enumeration Date: | 10/07/2022 |
| Last Updated: | 10/07/2022 |
Provider Practice Location
1900 SOUTH AVE
LA CROSSE
WI
546015467
Practice Location Phone/Fax
| Phone: | 6087750520 |
| Fax: |
Provider Mailing Location
1900 SOUTH AVE
LML-001
LA CROSSE
WI
54601
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |