Healthcare Provider Details

I. General information

NPI: 1457074114
Provider Name (Legal Business Name): MARK JOHNSTON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 E 1000 N
SPANISH FORK UT
84660-1269
US

IV. Provider business mailing address

892 S 2580 E
SPANISH FORK UT
84660-6243
US

V. Phone/Fax

Practice location:
  • Phone: 801-798-8832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP8841
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8902011-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: