Organization
JOHNSONS VILLAGE PHARMACY
Active
Other names
Johnsons Village Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON BS PHARMACY (PHARMACIST AND OWNER)
(716) 753-3200
Entity
Organization
Contact information
Practice address
99 E CHAUTAUQUA ST, STE 3, MAYVILLE, NY 14757-1017
(716) 753-3200
(716) 753-3206
Mailing address
99 E CHAUTAUQUA ST, STE 3, MAYVILLE, NY 14757-1017
(716) 753-3200
(716) 753-3206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02316558
—
NY
01
—
2064335
PK
—
Enumeration date
09/14/2006
Last updated
04/19/2017
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