Individual
DR. SHALECE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
13992 MANCHESTER RD, BALLWIN, MO 63011-4517
(636) 227-9228
(636) 227-9278
Mailing address
132 BARDIC CIR, SAINT PETERS, MO 63376-7600
(314) 372-6950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020006539
MO
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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