Individual
MELISSA COSBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
432 S BROAD ST, NEW TAZEWELL, TN 37825-7239
(423) 626-6555
Mailing address
432 S BROAD ST, NEW TAZEWELL, TN 37825-7239
(423) 626-6555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10754
TN
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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