Organization
MJW CORPORATION
Active
Other names
FAMILY PHARMACY-SOUTH AIKEN
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI NICOLE JOHNSON PHARM D (PRESIDENT / PHARMACIST / PIC)
(803) 648-1776
Entity
Organization
Contact information
Practice address
110 PRICE AVE, AIKEN, SC 29803-7395
(803) 648-1776
(803) 649-9494
Mailing address
110 PRICE AVE, AIKEN, SC 29803-7395
(803) 648-1776
(803) 649-9494
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5010379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010379
SC PHARMACY PERMIT
SC
05
—
710379
—
SC
Enumeration date
04/17/2009
Last updated
12/05/2022
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