# JOHNSON RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacksonville Discount Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124427851
- **Authorized official:** COPELAND JOHNSON PHARMACIST (OWNER/PHARMACIST)
- **Authorized official phone:** (256) 504-2253

## Contact information

- **Practice address:** 1642 PELHAM RD S, JACKSONVILLE, AL 36265-3312
- **Practice address phone:** (256) 706-6845
- **Practice address fax:** (888) 537-4507
- **Mailing address:** 4055 ALABAMA HWY 9, SUITE F, CEDAR BLUFF, AL 35959
- **Mailing address phone:** (256) 779-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114403 | AL | Yes |

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 165475 | — | AL |
| 01 | — | 2147427 | PK | — |