Individual
MAEGAN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MILITARY RD, SLIDELL, LA 70461-4197
(985) 645-0488
Mailing address
183 CARR DR, SLIDELL, LA 70458-5601
(504) 812-4501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021120
LA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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