| Dr Mallory De Johnson, | |
|
82 Main St W, Meadville, MS 39653-9320 | |
| (601) 384-3105 | |
| Not Available |
| Full Name | Dr Mallory De Johnson |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 82 Main St W, Meadville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275229114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | E-12933 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mallory De Johnson, 992 S Church St, Brookhaven, MS 39601-4004 Ph: (601) 754-0057 | Dr Mallory De Johnson, 82 Main St W, Meadville, MS 39653-9320 Ph: (601) 384-3105 |
Mr. Herman Shane Smith, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 82 Main St W, Meadville, MS 39653 Phone: 601-384-3105 | |
Dr. Michael T Milstead, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 82 Main St W, Meadville, MS 39653 Phone: 601-384-3105 |