IndividualActive
Matthew Johnson, PHARMD
NPI 1790073344 · Compounded Sterile Preparations Pharmacist · Altoona, PA
Provider details
- NPI number
- 1790073344
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 21976 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
2907 Pleasant Valley Blvd
Altoona, PA 16602-4305
Phone: (814) 943-8164
Approximate (ZIP-level) locationGet directions
Mailing address
928 Gold Hill Rd
Fort Mill, SC 29708-7947
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.