Johnson, Shane R

Johnson, Shane R is an individual health care provider with primary practice located at 560 Gage Blvd Suite 102, Richland WA 99352-8650. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Johnson, Shane R can be contacted via phone (509) 942-3135.

Contact Information

Primary practice address
560 Gage Blvd Suite 102 Richland WA 99352-8650
Phone: (509) 942-3135
Fax: (509) 627-1188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH60361579 Washington
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60361579 Washington
Pharmacy Service Providers / Geriatric 1835G0303X PH60361579 Washington

Profile Details

NPI number 1992053334
LBN Legal business name Johnson, Shane R
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Popular Providers