Provider Demographics
NPI:1215977525
Name:JOHNSON RICE, MARION LINDA (PHARMACY TECH)
Entity type:Individual
Prefix:MRS
First Name:MARION
Middle Name:LINDA
Last Name:JOHNSON RICE
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2665 COUNTY ROAD QQ
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:WI
Mailing Address - Zip Code:54946-0600
Mailing Address - Country:US
Mailing Address - Phone:715-258-1674
Mailing Address - Fax:
Practice Address - Street 1:N2665 COUNTY ROAD QQ
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:WI
Practice Address - Zip Code:54946-0600
Practice Address - Country:US
Practice Address - Phone:715-258-1674
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician