Individual
GRANT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 ALBERTSON PKWY, BROUSSARD, LA 70518-4347
(337) 839-1717
Mailing address
1400 S MORGAN AVE, BROUSSARD, LA 70518-5123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PNT.049996
LA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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