Provider Demographics
NPI:1215755962
Name:JOHNSTON, CLAIRE MARGARET (PHARMD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARGARET
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 VILLAGE WEST PKWY APT 429
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66111-4221
Mailing Address - Country:US
Mailing Address - Phone:402-277-0328
Mailing Address - Fax:
Practice Address - Street 1:2500 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4513
Practice Address - Country:US
Practice Address - Phone:913-727-5273
Practice Address - Fax:913-727-6337
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-112670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist