Johnston, Marc Douglas

Johnston, Marc Douglas is an individual health care provider with primary practice located at 15335 Se Hidden Falls Drive , Clackamas OR 97015. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Johnston, Marc Douglas can be contacted via phone (775) 846-8860.

Contact Information

Primary practice address
15335 Se Hidden Falls Drive Clackamas OR 97015
Phone: (775) 846-8860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH0012717 Oregon
Pharmacy Service Providers / Pharmacotherapy 1835P1200X NV14071 Nevada

Profile Details

NPI number 1912993734
LBN Legal business name Johnston, Marc Douglas
Credentials PHARMD,
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 31st, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912993734 NPPES
Nevada Other NV14071 NV BOARD OF PHARMACY LIC
Nevada Other 941 NV BOARD OF PHARMACY LIC
Nevada Other RPH0012717 NV BOARD OF PHARMACY LIC

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