Johnson, Calissta

Johnson, Calissta is an sole proprietor health care provider with primary practice located at 2500 S Lakeline Blvd Ste 202 , Cedar Park TX 78613-2969. She recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as her primary health care specialty. Johnson, Calissta can be contacted via phone (512) 628-1090.

Contact Information

Primary practice address
2500 S Lakeline Blvd Ste 202 Cedar Park TX 78613-2969
Phone: (512) 628-1090
Fax: (512) 628-1089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X 55618 Texas

Profile Details

NPI number 1619543394
LBN Legal business name Johnson, Calissta
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - 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.

Request for update

Popular Providers