Provider Demographics
NPI:1700071164
Name:JOHNSTONE, TAMMY JASSMANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:JASSMANN
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 CUTLER AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4712
Mailing Address - Country:US
Mailing Address - Phone:505-291-1293
Mailing Address - Fax:
Practice Address - Street 1:7919 CUTLER AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4712
Practice Address - Country:US
Practice Address - Phone:505-291-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMRP00007052OtherSTATE PHARMACY LICENSE NU