Doctor Name: | JESSICA JOHNSON |
NPI Number: | 1528416229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | T0122 |
Business Practice Address: | 110 Metroplex Blvd Suite H Pearl, MS - 392089210 |
Business Phone Number: | 6016641664 |
Business Fax Number: | 6016641661 |
Mailing Address: | 110 Metroplex Blvd, Suite H PEARL |
State: | MS |
Postal Code: | 392089210 |
Phone Number: | 6016641664 |
Fax Number: | 6016641661 |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | T0122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |