| NPI | 1881359339 |
|---|---|
| Other Name | TIFFANY LYNNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.039051) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051039051) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |