Provider Demographics
NPI:1033655725
Name:JOHNSON, BRIANNA LOUISE EPPS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:LOUISE EPPS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PALISADES CIR
Mailing Address - Street 2:205
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3584
Mailing Address - Country:US
Mailing Address - Phone:704-853-9097
Mailing Address - Fax:
Practice Address - Street 1:1021 PALISADES CIR
Practice Address - Street 2:205
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3584
Practice Address - Country:US
Practice Address - Phone:704-853-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist