Organization
JOHNSONS PHARMACY LLC
Active
Other names
JOHNSONS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KACI JOHNSON PHRM D (PHARMD/OWNER)
(850) 567-2163
Entity
Organization
Contact information
Practice address
219 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-2163
(850) 547-5730
Mailing address
219 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-2163
(850) 547-5730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH17754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113890200
—
FL
01
—
2011896
PK
—
Enumeration date
10/12/2006
Last updated
06/30/2022
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