Healthcare Provider Details

I. General information

NPI: 1992814180
Provider Name (Legal Business Name): HOWARD LAWRENCE JOHNSON R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 OLD CLAIRTON RD
PITTSBURGH PA
15236-4313
US

IV. Provider business mailing address

616 KEITH RD
BETHEL PARK PA
15102-3700
US

V. Phone/Fax

Practice location:
  • Phone: 412-655-2151
  • Fax: 412-655-3635
Mailing address:
  • Phone: 412-835-3242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP029009L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: