Provider Demographics
NPI:1932670932
Name:JOHNSTON, PAULA (RPH, AAHIVP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RPH, AAHIVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2319
Mailing Address - Country:US
Mailing Address - Phone:415-669-4759
Mailing Address - Fax:
Practice Address - Street 1:300 PENN CENTER BLVD STE 505
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5505
Practice Address - Country:US
Practice Address - Phone:412-579-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48848183500000X
PARP4505801835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist