Individual
JESSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1912 JACKSON AVE W, OXFORD, MS 38655-4454
(662) 238-3427
Mailing address
1912 JACKSON AVE W, OXFORD, MS 38655-4454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010444
MS
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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