Provider Demographics
NPI:1780662452
Name:JOHNSON, KARIE LYNN (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:LYNN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9737 272ND PL NW
Mailing Address - Street 2:#104
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-1900
Mailing Address - Country:US
Mailing Address - Phone:360-939-2438
Mailing Address - Fax:
Practice Address - Street 1:7205 267TH ST NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6237
Practice Address - Country:US
Practice Address - Phone:360-939-0572
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00019759183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician