Individual
RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
PO BOX 215, 11 MARTIN-MCCRAY RD, MIDWAY, FL 32343-0215
(850) 575-7679
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100108302982230
FL
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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