Organization
JOHNSON DRUG WILLIAMSBURG INC.
Active
Other names
JOHNSON DRUG WILLIAMSBURG
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MEDLIN (PRESIDENT)
(910) 347-5185
Entity
Organization
Contact information
Practice address
2200 GUM BRANCH RD, STE 1, JACKSONVILLE, NC 28540-4574
(910) 938-0582
(910) 938-0239
Mailing address
PO BOX 250, JACKSONVILLE, NC 28541-0250
(910) 938-0582
(910) 938-0239
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08866
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675595
—
NC
01
—
2072370
PK
—
Enumeration date
09/20/2006
Last updated
12/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us