Organization
JOHNSON WESTPARK DRUGS
Active
Other names
JOHNSON WESTPARK DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MEDLIN (PRESIDENT)
(910) 347-5185
Entity
Organization
Contact information
Practice address
3060 RICHLANDS HWY, JACKSONVILLE, NC 28540-2926
(910) 455-9222
(910) 938-2221
Mailing address
PO BOX 250, JACKSONVILLE, NC 28541-0250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08864
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675264
—
NC
01
—
2068260
PK
—
Enumeration date
09/20/2006
Last updated
12/13/2016
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