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Organization
JOHNSON RX INC
Active
Organization
JOHNSON RX INC
Active
Other names
Jacksonville Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COPELAND JOHNSON PHARMACIST (OWNER/PHARMACIST)
(256) 504-2253
Entity
Organization
Contact information
Practice address
1642 PELHAM RD S, JACKSONVILLE, AL 36265-3312
(256) 706-6845
(888) 537-4507
Mailing address
4055 ALABAMA HWY 9, SUITE F, CEDAR BLUFF, AL 35959
(256) 779-3000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114403
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165475
—
AL
01
—
2147427
PK
—
Enumeration date
08/19/2014
Last updated
03/24/2017
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