Individual
MS. TAMBREA LC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST, PTA
Contact information
Practice address
1324 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 536-0007
Mailing address
10 CADDIS CREEK CT, IRMO, SC 29063-8140
(803) 331-7476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43281
SC
225200000X
Physical Therapy Assistant
1804
SC
Other
Enumeration date
11/21/2011
Last updated
11/22/2021
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