Individual
MR. LARRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 454-6965
(901) 545-8884
Mailing address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-1886
TN
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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