Organization
JOHNSON DRUG COMPANY, INC
Active
Other names
JOHNSON HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT ANTHONY MEDLIN RPH (PRESIDENT/OWNER)
(910) 347-5185
Entity
Organization
Contact information
Practice address
8207 MARKET ST, SUITE I, WILMINGTON, NC 28411-8889
(910) 686-2988
(910) 686-3017
Mailing address
714 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5435
(910) 347-5185
(910) 347-9298
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00998
NC
Other
Enumeration date
09/10/2010
Last updated
01/14/2011
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