Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CALISSTA JOHNSON, PHARMD
Active Sole ProprietorDR. CALISSTA JOHNSON, PHARMD is a Nutrition Support Pharmacist healthcare provider located in CEDAR PARK, Texas. NPI 1619543394 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · CEDAR PARK, TX
Registration Details
- NPI Number
- 1619543394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2021 (5.2207281430231 yrs)
- Last Updated
- Jun 2, 2021
- License
-
55618 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 S LAKELINE BLVD STE 202CEDAR PARK, TX, 786132969Browse TX providers · Browse ZIP 78613
- Phone
- 5126281090
- Fax
- 5126281089
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.