Healthcare Provider Details

I. General information

NPI: 1174741755
Provider Name (Legal Business Name): MENDY DANETTE JOHNSTON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 FRANKLIN ST
TORONTO OH
43964-1949
US

IV. Provider business mailing address

1820 FRANKLIN ST
TORONTO OH
43964-1949
US

V. Phone/Fax

Practice location:
  • Phone: 740-537-9425
  • Fax: 740-537-9837
Mailing address:
  • Phone: 740-537-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-22238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: