Provider Demographics
NPI:1710645346
Name:JOHNSTON, SETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:JOHNSTON
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 1:2412 E RACE AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4780
Mailing Address - Country:US
Mailing Address - Phone:501-268-9400
Mailing Address - Fax:501-268-9405
Practice Address - Street 1:2412 E RACE AVE STE F
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4780
Practice Address - Country:US
Practice Address - Phone:501-268-9400
Practice Address - Fax:501-268-9405
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist