Individual
ANDREA JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
218 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 894-1222
(601) 894-1315
Mailing address
218 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 894-1222
(601) 894-1315
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT217802
MS
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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