Organization
JOHNSTON HEALTH SERVICES CORPORATION
Active
Other names
JOHNSTON HEALTH OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CIELINSKI (CFO)
(919) 938-6629
Entity
Organization
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7386
(919) 934-8172
Mailing address
PO BOX 1376, SMITHFIELD, NC 27577-1376
(919) 938-7386
(919) 934-8172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588069181
—
NC
01
—
2148412
PK
—
Enumeration date
10/27/2014
Last updated
01/19/2024
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