National Provider Identifier

Paul Edward Johnson, RPH

Paul Edward Johnson, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Marion, NY and a listed phone number of (315) 926-5636.

NPI 1467577627Marion, NYPharmacist

Profile Overview

NPI
1467577627
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 20, 2007
Last Updated
July 08, 2007

Practice Location

  • 3803 South Main St
  • Marion, NY 14505-0047

Phone: (315) 926-5636

Mailing Address

  • PO Box 47
  • Marion, NY 14505-0047

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1467577627
Entity Type
Individual
Last Name
Johnson
First Name
Paul
Middle Name
Edward
Name Prefix
Mr.
Credential
RPH
Mailing Street Address
PO Box 47
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-0047
Mailing Country
US
Mailing Phone
(315) 926-5636
Mailing Fax
(315) 926-0137
Practice Street Address
3803 South Main St
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-0047
Practice Country
US
Practice Phone
(315) 926-5636
Practice Fax
(315) 926-0137
Enumeration Date
March 20, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)