Organization
JAMES RIVER CORRECTIONAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH P JOHNSON R. PH. (PHARMACIST II)
(701) 253-3612
Entity
Organization
Contact information
Practice address
2521 CIRCLE DR, JAMESTOWN, ND 58401-6904
(701) 253-3612
(701) 253-3666
Mailing address
2521 CIRCLE DR, JAMESTOWN, ND 58401-6904
(701) 253-3612
(701) 253-3666
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
584
ND
Other
Enumeration date
03/23/2007
Last updated
06/26/2008
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