Organization
H. JOHNSON'S PHARMACY, INC
Active
Other names
H. Johnson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DEAL PHARM D (OWNER/PRESIDENT)
(423) 383-1416
Entity
Organization
Contact information
Practice address
520 BLUFF CITY HWY, BRISTOL, TN 37620-4606
(423) 968-2895
(423) 968-5986
Mailing address
520 BLUFF CITY HWY, BRISTOL, TN 37620-4606
(423) 968-2895
(423) 968-5986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452230
—
TN
01
—
2144343
PK
—
Enumeration date
09/19/2006
Last updated
01/26/2021
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