Organization
JOHNSON AND ENTREKIN PHARMACY LLC
Active
Other names
JOHNSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JOHNSON (PHARMACIST)
(678) 257-5400
Entity
Organization
Contact information
Practice address
205 E COLLEGE ST, BOWDON, GA 30108-1108
(678) 257-5400
(678) 257-5403
Mailing address
205 E COLLEGE ST, BOWDON, GA 30108-1108
(657) 257-5400
(678) 257-5403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010264
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173146A
—
GA
01
—
2157968
PK
—
Enumeration date
02/04/2016
Last updated
03/08/2017
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