Individual
DR. JESSICA BROUSSARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11630 HWY 51 S, ATOKA, TN 38004
(901) 837-5010
Mailing address
467 GEORGE ELLIS, MUNFORD, TN 38058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46713
TN
Other
Enumeration date
08/01/2022
Last updated
10/25/2024
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