Individual
DR. LUCILLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00019377
WA
1835G0303X
Geriatric Pharmacist
PH00019377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065000
—
WA
Enumeration date
07/07/2007
Last updated
02/16/2023
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