Healthcare Provider Details

I. General information

NPI: 1083625651
Provider Name (Legal Business Name): JOHNSONS PHARMACUETICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLAIRTON RD
WEST MIFFLIN PA
15122-3006
US

IV. Provider business mailing address

2000 CLAIRTON RD
WEST MIFFLIN PA
15122-3006
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 TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP415463L
License Number StatePA

VIII. Authorized Official

Name: MATT JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 412-655-2151