Individual
DR. JAIME ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40567 HIGHWAY 42, PRAIRIEVILLE, LA 70769-5250
(225) 622-4200
Mailing address
7601 MARTIN DR, NEW ORLEANS, LA 70126-1763
(504) 427-2976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PST.02261
LA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PST.02261
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WMW18146871W
N/A
LA
Enumeration date
02/04/2019
Last updated
02/04/2019
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