Individual
JACKIE PAIGE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 558-0675
Mailing address
529 JEFFERSON ST APT 5, HOBOKEN, NJ 07030-2013
(203) 558-0675
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
28RI03875000
NJ
1835C0205X
Critical Care Pharmacist
Primary
PCT.0013301
CT
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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