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Organization
S. RAY JOHNSON
Active
Organization
S. RAY JOHNSON
Active
Other names
Pill Box
Organization subpart
No
Provider details
NPI number
Authorized official
S RAY JOHNSON RPH (PHARMACIST OWNER)
(806) 935-2333
Entity
Organization
Contact information
Practice address
601 S. BLISS AVE, DUMAS, TX 79029-4434
(806) 935-2333
(806) 935-7096
Mailing address
601 S. BLISS AVE, DUMAS, TX 79029-4434
(806) 935-2333
(806) 935-7096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02472
TX
333600000X
Pharmacy
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010675901
—
TX
05
—
010675902
—
TX
05
—
010675903
—
TX
01
—
02472
PHCY STORE LICENSE
TX
05
—
143922
—
TX
01
—
16082
S RAY JOHNSON PHCY LIC #
TX
01
—
20002809
DPS CONTROLLED DRUGS NO
TX
01
—
45D0952363
CLIA
TX
Enumeration date
02/22/2007
Last updated
07/30/2008
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