Organization
STEPHEN MICHAEL JOHNSON
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL JOHNSON RPH (OWNER AND PIC)
(276) 431-2299
Entity
Organization
Contact information
Practice address
443 DUFF PATT HWY, SUITE 104, DUFFIELD, VA 24244-5191
(276) 431-2299
(276) 431-2191
Mailing address
PO BOX 383, DUFFIELD, VA 24244-0383
(276) 431-2299
(276) 431-2191
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003487
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008514011
—
VA
01
—
4832475
OTHER ID NUMBER
—
05
—
VA8514011
—
VA
Enumeration date
07/09/2006
Last updated
03/06/2013
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