Individual
BRANDI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 GREENWAY PRESERVE LN APT 302, TAMPA, FL 33619-5171
(912) 507-1521
Mailing address
2107 GREENWAY PRESERVE LN APT 302, TAMPA, FL 33619-5171
(912) 507-1521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51011
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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