Organization
JOHNSON DRUG HAMPSTEAD INC.
Active
Other names
Johnson Drug Hampstead Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT MEDLIN (PRESIDENT)
(910) 347-5185
Entity
Organization
Contact information
Practice address
17230 US HWY 17N, SUITE 222, HAMPSTEAD, NC 28443
(910) 270-2223
Mailing address
PO BOX 250, JACKSONVILLE, NC 28541-0250
(910) 347-5185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11533
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140329
PK
—
Enumeration date
05/14/2013
Last updated
08/23/2016
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