Individual
MR. BRUCE DALTON JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
335 WILLOW AVE, STATE COLLEGE, PA 16801-7236
(814) 234-8771
Mailing address
335 WILLOW AVE, STATE COLLEGE, PA 16801-7236
(814) 234-8771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP024963L
PA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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