NPI 1063845659

Amie Krystrine Johnson, RPH

Practitioner Pharmacist Portland, ME

Practice location

Address: 290 Congress St, Portland, ME 04101-3684
Phone: (207) 774-0344
Mailing address: 36b Water St, Gorham, ME 04038-1020

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR12944 (ME)

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Registry record

NPI: 1063845659
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2013
Record last updated: 19 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.