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Individual

MR. CHARLES JAMES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
300 W. 4TH STREET, DEQUINCY, LA 70633-3404
(337) 786-5863
(337) 786-5872
Mailing address
5705 VICTOR LANE, LAKE CHARLES, LA 70605-7113
(337) 529-0279

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
34583
TX
183500000X
Pharmacist
Primary
PST.015797
LA

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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