Individual
DR. ANDRE KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3360 N WATKINS ST, MEMPHIS, TN 38127-6432
(901) 353-4603
Mailing address
6502 ROYAL VALLEY DR, BARTLETT, TN 38135-6118
(901) 373-4297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9573
TN
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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