Provider Demographics
NPI:1871891911
Name:JOHNSTON, JESSICA YARBER (PHARMD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:YARBER
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 HIGHWAY 45 N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2110
Mailing Address - Country:US
Mailing Address - Phone:662-327-6138
Mailing Address - Fax:662-329-9271
Practice Address - Street 1:1800 HIGHWAY 45 N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2110
Practice Address - Country:US
Practice Address - Phone:662-327-6138
Practice Address - Fax:662-329-9271
Is Sole Proprietor?:No
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS010168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist