Individual
MRS. KARLA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PROMENADE BLVD, FLOWOOD, MS 39232-8017
(601) 718-2233
Mailing address
38 GREYSTONE DR, MADISON, MS 39110-9034
(601) 503-7193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8083
MS
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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