Organization
JOHNSON DRUG WILLIAMSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT ANTHONY MEDLIN RPH (OWNER)
(910) 347-5185
Entity
Organization
Contact information
Practice address
2200 GUM BRANCH RD STE I, JACKSONVILLE, NC 28540-4568
(910) 938-0582
(910) 938-0239
Mailing address
PO BOX 250, JACKSONVILLE, NC 28541-0250
(910) 347-5185
(910) 347-9298
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08866
NC
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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