Individual
LESLIE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5787 HWY 64, PARKIN, AR 72373-9003
(870) 755-2838
(870) 755-2840
Mailing address
117 S 2ND ST, AUGUSTA, AR 72006-2309
(870) 347-3300
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10375
AR
Other
Enumeration date
01/22/2007
Last updated
05/20/2014
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