Johnson, Mark A
Johnson, Mark A is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97470-1281. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Johnson, Mark A can be contacted via phone (541) 677-3607.Contact Information
Primary practice address
2700 Nw Stewart Pkwy
Roseburg OR 97470-1281
Phone: (541) 677-3607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7026 | Oregon |
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 7026 | Oregon |
Profile Details
| NPI number | 1275666463 |
|---|---|
| LBN Legal business name | Johnson, Mark A |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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