Individual
MR. BRIAN CLAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25800 HIGHWAY 171, MANY, LA 71449-6976
(318) 256-9207
Mailing address
430 ELLIS RD, DERIDDER, LA 70634-3132
(337) 462-5653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15450
LA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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