Individual
KAYLA DIANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
2474 PALOMAR CIR, APT C7, COLUMBIA, TN 38401-6251
(931) 239-6433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40144
TN
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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