Individual
DR. LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 E WOODROW WILSON AVE # A40, JACKSON, MS 39216-5116
(601) 364-1556
Mailing address
1500 E WOODROW WILSON AVE # A40, JACKSON, MS 39216-5116
(601) 364-1556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13988
MS
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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