Organization
SGJ & P INC
Active
Other names
Johnny's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FUSON (OWNER PHARMACIST)
(615) 597-7822
Entity
Organization
Contact information
Practice address
516-B WEST MAIN STREET, SMITHVILLE, TN 37166-0299
(615) 597-7822
(615) 597-1112
Mailing address
P. O. BOX 299, SMITHVILLE, TN 37166-1118
(615) 597-7822
(615) 597-1112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150553
BC/BS
TN
01
—
3563964
TN MEDICAL ASSISTANCE PRO
TN
01
—
4427313
NCPDP#
TN
05
—
9449808
—
TN
Enumeration date
10/17/2005
Last updated
01/04/2023
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