Individual
SHAQUETTA MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1002 W BEACON ST, PHILADELPHIA, MS 39350-3204
(601) 656-5310
Mailing address
PO BOX 6, COLUMBIA, MS 39429-0006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-102-118
MS
Other
Enumeration date
09/11/2025
Last updated
10/15/2025
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