Provider Demographics
NPI:1245835164
Name:JOHNSTON, CATHERINE M (RPH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 WEST ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3838
Mailing Address - Country:US
Mailing Address - Phone:781-686-6598
Mailing Address - Fax:
Practice Address - Street 1:66 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1920
Practice Address - Country:US
Practice Address - Phone:781-784-6714
Practice Address - Fax:781-793-9979
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH23070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist