Individual
DR. MARC DOUGLAS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD,
Contact information
Practice address
15335 SE HIDDEN FALLS DRIVE, CLACKAMAS, OR 97015
(775) 846-8860
Mailing address
15335 SE HIDDEN FALLS DR, CLACKAMAS, OR 97015-7319
(775) 846-8860
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0012717
OR
1835P1200X
Pharmacotherapy Pharmacist
NV14071
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941
CERTIFIED GERIATRIC PHARM
NV
01
—
NV14071
NV BOARD OF PHARMACY LIC
NV
01
—
RPH0012717
PHARMACY LICENSE
OR
Enumeration date
09/27/2005
Last updated
12/31/2015
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