Individual
MAGGIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2648 E COUNTY ROAD 100 N, PAOLI, IN 47454-8209
(317) 385-1375
Mailing address
2648 E COUNTY ROAD 100 N, PAOLI, IN 47454-8209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021753A
IN
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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