Individual
MARIE ELIZABETH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 755-1185
Mailing address
800 S THIRD ST, APT G-1, GALLUP, NM 87301-5872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-00012640
OR
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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