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NPI Code Detail

MEDICARE: DR. MITCHELL ANDREW JOHNSTON PHARM.D.

MEDICARE:  DR. MITCHELL ANDREW JOHNSTON  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP0004228WV

General Provider Information

NPI Number : 1205837630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL ANDREW JOHNSTON PHARM.D.
Provider Business Mailing Address
First Line : 503 N TENNESSEE AVE
Second Line : RT. 6
City : MARTINSBURG
State : WV
Zip : 25401-9271
Country : US
Telephone Number : 304-263-0811
Fax Number :
Provider Business Practice Location Address
First Line : 510 BUTLER AVE
Second Line : PHARMACY SERVICE
City : MARTINSBURG
State : WV
Zip : 25401-9990
Country : US
Telephone Number : 304-263-0811
Fax Number : 304-262-4848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MITCHELL ANDREW JOHNSTON PHARM.D.” Practice Location

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