Healthcare Provider Details

I. General information

NPI: 1164878591
Provider Name (Legal Business Name): JOHNSON'S PHARMACEUTICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 OLD CLAIRTON RD
PLEASANT HILLS PA
15236-4313
US

IV. Provider business mailing address

600 OLD CLAIRTON RD
PLEASANT HILLS PA
15236-4313
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP443551
License Number StatePA

VIII. Authorized Official

Name: DR. MATTHEW JOHNSON
Title or Position: OWNER
Credential: PHARMD
Phone: 412-655-2151