Johnson, Blake Ryan

Johnson, Blake Ryan is an individual health care provider with primary practice located at 2723 New Salem Hwy , Murfreesboro TN 37128-5253. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Johnson, Blake Ryan can be contacted via phone (615) 396-6850.

Contact Information

Primary practice address
2723 New Salem Hwy Murfreesboro TN 37128-5253
Phone: (615) 396-6850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20432 Alabama
Pharmacy Service Providers / Pharmacist 183500000X RPH032613 Georgia
Pharmacy Service Providers / Ambulatory Care 1835P2201X 42141 Tennessee

Profile Details

NPI number 1174086847
LBN Legal business name Johnson, Blake Ryan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2019
Last updated Jul 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174086847 NPPES
Alabama Other 20432 ALABAMA BOARD OF PHARMACY LICENSE
Alabama Other 42141 ALABAMA BOARD OF PHARMACY LICENSE
Alabama Other RPH032613 ALABAMA BOARD OF PHARMACY LICENSE

Popular Providers