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Dr. Calissta Johnson, PHARMD
Nutrition Support Pharmacist in Cedar Park, Texas
NPI 1619543394

Calissta Johnson is a Nutrition Support Pharmacist based in Cedar Park, TX and is specialized in Nutrition Support. Calissta Johnson practices in Cedar Park, TX and has the professional credentials of PHARMD. The NPI Number for Calissta Johnson is 1619543394 and holds a License No. 55618 (Texas).

The current practice location address for Calissta Johnson is 2500 S Lakeline Blvd Ste 202, Cedar Park, TX and can be reached out via phone at 512-628-1090 and via fax at 512-628-1089.

Location: 2500 S Lakeline Blvd Ste 202, Cedar Park, TX, 78613-2969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619543394
Provider Name
Calissta Johnson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2500 S Lakeline Blvd Ste 202, Cedar Park, TX, 78613-2969
Phone Number
512-628-1090
Fax Number
512-628-1089
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 S Lakeline Blvd Ste 202
City
Cedar Park
State
Texas
Zip
78613-2969
Phone Number
512-628-1090
Fax Number
512-628-1089
person
Provider Business Mailing Address Details
Address
2500 S Lakeline Blvd Ste 202
City
Cedar Park
State
Texas
Zip
78613-2969
Phone Number
512-628-1090
Fax Number
512-628-1089
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
1835N1003X
License No.
55618 (Texas)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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