Healthcare Provider Details

I. General information

NPI: 1659963080
Provider Name (Legal Business Name): MEGAN ANN JOHNSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 W NORTH ST
OWATONNA MN
55060-1107
US

IV. Provider business mailing address

495 W NORTH ST
OWATONNA MN
55060-1107
US

V. Phone/Fax

Practice location:
  • Phone: 507-451-7886
  • Fax: 507-444-9238
Mailing address:
  • Phone: 507-451-7886
  • Fax: 507-444-9238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number125033
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: