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Organization
JOHNSON AND ENTREKIN PHARMACY LLC
Active
Organization
JOHNSON AND ENTREKIN PHARMACY LLC
Active
Other names
JOHNSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JOHNSON (PHARMACIST)
(678) 257-5400
Entity
Organization
Contact information
Practice address
205 E COLLEGE ST, BOWDON, GA 30108-1108
(678) 257-5400
(678) 257-5403
Mailing address
205 E COLLEGE ST, BOWDON, GA 30108-1108
(657) 257-5400
(678) 257-5403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010264
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173146A
—
GA
01
—
2157968
PK
—
Enumeration date
02/04/2016
Last updated
03/08/2017
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