Organization
JOHNSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J JOHNSON (PRES)
(501) 589-2890
Entity
Organization
Contact information
Practice address
6124 HEBER SPRINGS RD WEST, QUITMAN, AR 72131-0164
(501) 589-2890
(501) 589-3780
Mailing address
PO BOX 164, QUITMAN, AR 72131-0164
(501) 589-2890
(501) 589-3780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD05864
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100542407
—
AR
Enumeration date
02/02/2007
Last updated
11/01/2022
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