Provider Demographics
NPI:1225353261
Name:HUSTON, JOHN-PAUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN-PAUL
Middle Name:
Last Name:HUSTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13331 W ROMAIN CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5376
Mailing Address - Country:US
Mailing Address - Phone:208-520-0678
Mailing Address - Fax:
Practice Address - Street 1:13331 W ROMAIN CT
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-5376
Practice Address - Country:US
Practice Address - Phone:208-520-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist