Individual
MICAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(601) 826-0983
Mailing address
1117 DICKORY AVE # E248, RIVER RIDGE, LA 70123-2297
(601) 826-0983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022550
LA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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