Individual
COLLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4125 AUSTELL RD, AUSTELL, GA 30106-1836
(678) 945-4530
Mailing address
4125 AUSTELL RD, AUSTELL, GA 30106-1836
(678) 945-4530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS51213
FL
183500000X
Pharmacist
Primary
RPH027621
GA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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