Organization
SGJ & P INC
Active
Other names
JOHNNYS DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FUSON (OWNER)
(615) 597-7822
Entity
Organization
Contact information
Practice address
516B W MAIN ST, SMITHVILLE, TN 37166-1118
(615) 597-7822
(615) 597-1112
Mailing address
PO BOX 299, SMITHVILLE, TN 37166-0299
(615) 597-7822
(615) 597-1112
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4427313
NCPDP
TN
05
—
9449808
—
TN
Enumeration date
11/09/2005
Last updated
12/05/2024
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