Organization
JOHNSONS HOMETOWN PHARMACY INC
Active
Other names
JOHNSONS HOMETOWN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOESPH JOHNSON RPH (OWNER)
(770) 945-9501
Entity
Organization
Contact information
Practice address
85 E MAIN ST, BUFORD, GA 30518-5712
(770) 945-9501
(770) 932-6169
Mailing address
PO BOX 629, BUFORD, GA 30515-0629
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009107
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021326A
—
GA
01
—
2016217
PK
—
Enumeration date
02/07/2007
Last updated
10/21/2014
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