Individual
LISA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
115 COMMONS DR, MAUMELLE, AR 72113-7266
(501) 803-3274
Mailing address
115 COMMONS DR, MAUMELLE, AR 72113-7266
(501) 803-3274
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PD06951
AR
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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