Individual
DR. TAMMY JASSMANN JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7919 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4712
(505) 291-1293
Mailing address
7919 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4712
(505) 291-1293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007052
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00007052
STATE PHARMACY LICENSE NU
NM
Enumeration date
09/10/2007
Last updated
09/10/2007
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