IndividualActive
Shane Johnson, PHARMD
NPI 1992053334 · Geriatric Pharmacist · Richland, WA
Provider details
- NPI number
- 1992053334
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- PH60361579 (WA)
Practice location
560 Gage Blvd
Suite 102
Richland, WA 99352-8650
Phone: (509) 942-3135
Fax: (509) 627-1188
Mailing address
560 Gage Blvd
Richland, WA 99352-8650
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.