Johnson Sullivan Fairbanks, RPH
NPI #1134332968 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1134332968
- Entity Type
- Individual
- Name
- Johnson Sullivan Fairbanks, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Pharmacotherapy
- Credential
- RPH
- Enumeration Date
- May 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1527 MOHON ST
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71301-3431
- Phone
- (318) 442-2359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacotherapy — Pharmacotherapy |
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