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Individual

STANLEY CHARLES JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
105 W. ELDON ST, ST. JAMES, MO 65559
(573) 265-8901
(573) 265-8310
Mailing address
105 W ELDON ST, SAINT JAMES, MO 65559-1903
(573) 265-8901
(573) 265-8310

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
041494
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600243901
MO
Enumeration date
06/08/2012
Last updated
06/08/2012
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