Provider Demographics
NPI:1932650728
Name:JOHNSTON, IRMA CRISTINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:CRISTINA
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:28718 CASEN RANCH LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1999
Mailing Address - Country:US
Mailing Address - Phone:832-392-9616
Mailing Address - Fax:
Practice Address - Street 1:28718 CASEN RANCH LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1999
Practice Address - Country:US
Practice Address - Phone:832-392-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist