Individual
DR. LOLETTIMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
795 W OVERLAND RD, MERIDIAN, ID 83642-6556
(208) 917-6905
Mailing address
795 W OVERLAND RD, MERIDIAN, ID 83642-6556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7463
ID
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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