| NPI | 1043752850 |
|---|---|
| Former Name | AMANDA CAROL JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700362) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 15445) |
| 183500000X Pharmacist (Licence: VA 0202214860) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2025-02-20 |