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Individual

MARIAH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
8200 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3481
(225) 765-5000
(225) 374-1672
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5000
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022127
LA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PST.022127
LA
1835P0200X
Pediatric Pharmacist
PST.022127
LA

Other

Enumeration date
12/19/2024
Last updated
01/10/2025
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