Individual
KELLY GIARDINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9643B JEFFERSON HWY, RIVER RIDGE, LA 70123-2509
(504) 737-6242
Mailing address
1925 NAPOLEON AVE, NEW ORLEANS, LA 70115-5541
(504) 909-5067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021594
LA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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