Organization
JOHNSON RX INC
Active
Other names
Summerville Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COPELAND JOHNSON (VP/OWNER)
(256) 504-2253
Entity
Organization
Contact information
Practice address
9848 ROME BLVD, SUMMERVILLE, GA 30747-1586
(706) 808-0606
(706) 808-0609
Mailing address
9848 ROME BLVD, SUMMERVILLE, GA 30747-1586
(706) 808-0606
(706) 808-0609
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126792
PK
—
Enumeration date
09/17/2010
Last updated
11/06/2013
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