NPI 1164823225

David Johnson, RPH

Practitioner Pharmacist Grand Rapids, MN

Practice location

Address: 1601 Golf Course Rd, Grand Rapids, MN 55744-8648
Phone: (218) 999-1881
Fax: (218) 999-1887

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 114129 (MN)

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Registry record

NPI: 1164823225
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2014
Record last updated: 9 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.