Individual
AMY CAROLINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
515 HOUSTON ST, FORT WORTH, TX 76102-3933
(817) 820-0488
(817) 776-4102
Mailing address
515 HOUSTON ST, FORT WORTH, TX 76102-3933
(817) 820-0488
(817) 776-4102
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
61032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61032
TX STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
11/30/2020
Last updated
11/30/2020
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