Individual
MR. BRIAN JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
320 20TH ST E, TIFTON, GA 31794-3693
(229) 386-8288
Mailing address
6 JENNY DR, TIFTON, GA 31793-6883
(229) 339-0223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017015
GA
183500000X
Pharmacist
Primary
RPH017015
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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