Individual
JOHANA LIZETH MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
219 N WOODLAND DR, FOREST, MS 39074-3307
(601) 469-3393
(601) 469-5965
Mailing address
219 N WOODLAND DR, FOREST, MS 39074-3307
(601) 469-3393
(601) 469-5965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15792
MS
Other
Enumeration date
08/28/2020
Last updated
11/06/2021
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