Individual
BLAKE RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253
(615) 396-6850
Mailing address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253
(615) 396-6850
(615) 396-6855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20432
AL
183500000X
Pharmacist
RPH032613
GA
1835P2201X
Ambulatory Care Pharmacist
Primary
42141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20432
ALABAMA BOARD OF PHARMACY LICENSE
AL
01
—
42141
TENNESSEE BOARD OF PHARMACY LICENSE
TN
01
—
RPH032613
GEORGIA BOARD OF PHARMACY LICESNE
GA
Enumeration date
04/10/2019
Last updated
07/17/2024
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