Individual
DR. TALAWANGA JOHNSON-BURL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5551 CORPORATE BLVD, SUITE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
(225) 924-2620
Mailing address
5551 CORPORATE BLVD, SUITE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
(225) 924-2620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214433
VA
183500000X
Pharmacist
Primary
17027
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202214433
VIRGINIA BOARD OF PHARMACY
VA
01
—
17027
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
02/15/2016
Last updated
02/15/2016
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