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Individual

DR. DEREK CHARLES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3600 MALLORY LN, FRANKLIN, TN 37067-2900
(615) 771-0391
Mailing address
1000 WORTHINGTON LN APT 26207, SPRING HILL, TN 37174-3069
(701) 367-9937

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000041475
TN
183500000X
Pharmacist
118674
MN
183500000X
Pharmacist
R5689
SD
183500000X
Pharmacist
RPH4896
ND

Other

Enumeration date
05/15/2018
Last updated
05/15/2018
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