Individual
MRS. TRACY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
804 MAIN ST NE, HANCEVILLE, AL 35077-5461
(256) 352-4374
(256) 352-2014
Mailing address
PO BOX 288, HANCEVILLE, AL 35077-0288
(256) 352-4371
(256) 352-2014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12552
AL
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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