Individual
ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-5511
(865) 429-1451
Mailing address
702 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-5511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000039714
TN
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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