Jaimie Lynn Johanneck

NPI #1104104215 in Austin, Texas

Provider Information

NPI Number
1104104215
Entity Type
Individual
Name
Jaimie Lynn Johanneck
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 25, 2011
Last Updated
Jul 25, 2011

Practice Location

Address
2501 S LAMAR BLVD
City
Austin
State
Texas
ZIP Code
78704-4730
Phone
(512) 443-7534

Specialties & Taxonomy Codes

Specialty
Pharmacist

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