Mark David Johnston, PHARMD

NPI #1477186542 in Eagle, Idaho

Provider Information

NPI Number: 1477186542
Entity Type: Individual
Name: Mark David Johnston, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 1683 E MYRTLE BEACH CT
City: Eagle
State: Idaho
ZIP Code: 83616-5366
Phone: (208) 985-3271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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