Individual
ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 TOWN BLVD NE, ATLANTA, GA 30319-3146
(404) 233-7480
Mailing address
104 TOWN BLVD NE, ATLANTA, GA 30319-3146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026844
GA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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