Organization
JOHNSTON MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA LOUISE HOLLY (OWNER)
(602) 264-1201
Entity
Organization
Contact information
Practice address
2105 S 48TH ST, #105, TEMPE, AZ 85282-1019
(602) 264-1201
(602) 264-4970
Mailing address
2105 S 48TH ST, #105, TEMPE, AZ 85282-1019
(602) 264-1201
(602) 264-4970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
—
332BC3200X
Customized Equipment (DME)
332BC3200X
—
335E00000X
Prosthetic/Orthotic Supplier
335E00000X
—
Other
Enumeration date
01/19/2007
Last updated
09/11/2025
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