Most Relevant Information
Provider Data
| NPI Number: | 1003249574 |
| Provider Name: | BRUCE DALTON JOHNSTON R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP024963L |
Most Important Dates
| Enumeration Date: | 08/19/2013 |
| Last Updated: | 08/19/2013 |
Provider Practice Location
335 WILLOW AVE
STATE COLLEGE
PA
168017236
Practice Location Phone/Fax
| Phone: | 8142348771 |
| Fax: |
Provider Mailing Location
335 WILLOW AVE
STATE COLLEGE
PA
168017236
Provider Mailing Phone/Fax
| Phone: | 8142348771 |
| Fax: |