Healthcare Provider Details

I. General information

NPI: 1295011179
Provider Name (Legal Business Name): SHEILA KAY JOHNSTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E HIGHWAY 20
ONEILL NE
68763-2307
US

IV. Provider business mailing address

404 E HIGHWAY 20
ONEILL NE
68763-2307
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-2000
  • Fax: 402-336-3727
Mailing address:
  • Phone: 402-336-2000
  • Fax: 402-336-3727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12312
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: