Individual
DR. AMANDA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4315 6TH AVE, WALGREEN'S PHARMACY #03519, TACOMA, WA 98406-4014
(253) 756-5159
(253) 756-5086
Mailing address
4315 6TH AVE, WALGREEN'S PHARMACY #03519, TACOMA, WA 98406-4014
(253) 756-5159
(253) 756-5086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20 052756
NY
183500000X
Pharmacist
Primary
PH60114432
WA
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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