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Individual

DR. DEREK N JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
27520 COVINGTON WAY SE, COVINGTON, WA 98042-9100
(253) 796-1011
Mailing address
2224 170TH AVE E, LAKE TAPPS, WA 98391-4901
(253) 209-9445

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60950566
WA

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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