Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallory De Johnson

Individual provider Pharmacist · NPI 1275229114

Dr. Mallory De Johnson is a Pharmacist in Meadville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023

Practice location Address checks out

82 Main St W
Meadville, MS 39653-9320
Phone: (601) 384-3105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E-12933 (MS)

Record details

NPI number1275229114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address992 S Church St, Brookhaven, MS 39601-4004

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