DR. Mallory De Johnson

NPI #1275229114 in Meadville, Mississippi

Provider Information

NPI Number: 1275229114
Entity Type: Individual
Name: DR. Mallory De Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 13, 2023
Last Updated: Apr 13, 2023

Practice Location

Address: 82 MAIN ST W
City: Meadville
State: Mississippi
ZIP Code: 39653-9320
Phone: (601) 384-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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