SearchIllinois183500000X

Mia Johnsonmighty, PHARMD

NPI 1861777419 · on the registry since 2011 · sole proprietor

Practice

Address
4889 Sauk Trl
Richton Park, IL 60471
Phone
(708) 679-0598
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois