Individual
TIFFANY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 S COLORADO ST, LOCKHART, TX 78644-2702
(512) 398-6797
Mailing address
403 S COLORADO ST, LOCKHART, TX 78644-2702
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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