MEDICARE: AMANI PATRICE JOHNSONSINGHBARNETT PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12226	TN

General Provider Information

NPI Number	:	1831462191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANI PATRICE JOHNSONSINGHBARNETT PHARMD

Provider Business Mailing Address
First Line	:	360 S YATES RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2430
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3502 SUMMER AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-3628
Country	:	US
Telephone Number	:	901-327-4483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2012
Last Update Date	:	02/17/2012

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Directions to “ AMANI PATRICE JOHNSONSINGHBARNETT PHARMD” Practice Location

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