Individual
DR. JACOB CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3502 PARK AVE, MEMPHIS, TN 38111-5622
(901) 324-1050
Mailing address
145 RIVERWALK PL, MEMPHIS, TN 38103-0846
(502) 974-5417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45553
TN
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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