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Organization
M J W CORPORTATION
Active
Organization
M J W CORPORTATION
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI NICOLE JOHNSON PHARM D (PRESIDENT/OWNER/PHARMACIST)
(803) 648-1776
Entity
Organization
Contact information
Practice address
333 NEWBERRY ST NW, AIKEN, SC 29801-3929
(803) 649-1776
(803) 641-0205
Mailing address
333 NEWBERRY ST NW, AIKEN, SC 29801-3929
(803) 649-1776
(803) 641-0205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
2693
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089675
PK
—
05
—
726932
—
SC
05
—
DME636
—
SC
Enumeration date
10/05/2005
Last updated
12/05/2022
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