Individual
JASON GEORGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
27431 HIGHWAY 190, LACOMBE, LA 70445-6401
(985) 882-2828
(985) 882-6679
Mailing address
27431 HIGHWAY 190, LACOMBE, LA 70445-6401
(985) 882-2828
(985) 882-6679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16847
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16847
LA BOARD OF PHARMACY
LA
Enumeration date
08/31/2013
Last updated
08/31/2013
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