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Organization
JOHNSON RX PROPERTIES, LLC
Active
Organization
JOHNSON RX PROPERTIES, LLC
Active
Other names
JOHNSON RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COPELAND BLAKE JOHNSON (OWNER/PHARMACIST)
(256) 779-3000
Entity
Organization
Contact information
Practice address
4055 AL HIGHWAY 9, STE F, CEDAR BLUFF, AL 35959-5099
(256) 779-3000
(256) 779-3002
Mailing address
4055 AL HIGHWAY 9, STE F, CEDAR BLUFF, AL 35959-5099
(256) 779-3000
(256) 779-3002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113032
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182032A
—
GA
05
—
100040202
—
AL
01
—
1996181
PK
—
Enumeration date
11/29/2007
Last updated
02/20/2019
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