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General NPI Number Information
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NPI Number | 1043387103
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Entity Type | Individual
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Provider Name | DOUGLAS LEE JOHNSTON PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1330 ENCLAVE PKWY
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City | HOUSTON
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State | TX
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Zip | 77077-2025
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Country | US
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Telephone | 800-222-2005
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Fax | 209-533-9489
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Provider Business Mailing Address
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Address Line | 15204 VICTORY WAY
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City | SONORA
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State | CA
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Zip | 95370-8876
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Country | US
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Telephone | 209-532-8326
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Fax | 209-533-9489
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30420
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00060969
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16583
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17051
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License Number State | CO
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