Individual
DR. MALLORY ANN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2600 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3925
(615) 382-9844
Mailing address
2600 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3925
(615) 382-9844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36595
TN
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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