Johnson, Mallory De

Johnson, Mallory De is an individual health care provider with primary practice located at 82 Main St W , Meadville MS 39653-9320. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Mallory De can be contacted via phone (601) 384-3105.

Contact Information

Primary practice address
82 Main St W Meadville MS 39653-9320
Phone: (601) 384-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-12933 Mississippi

Profile Details

NPI number 1275229114
LBN Legal business name Johnson, Mallory De
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2023
Last updated Apr 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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