Shelly Johnson
Pharmacist in Westminster, CO. Individual provider (NPI-1).
NPI number1508143751
StatusActive
Last updated in NPPESNov 15, 2011
Details
- NPI
- 1508143751
- Entity type
- Individual (NPI-1)
- Name
- Shelly Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2011
- Last updated
- Nov 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 16965 | CO | Yes |
Practice location
5190 W 120th AveWestminster, CO 80020-3332
Phone 303-410-1105
Mailing address
5023 Sage Brush CtBroomfield, CO 80023-3981
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