Organization
JOHNSTON DRUG INC
Active
Other names
JOHNSTON DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHNSTON PHARMD (OWNER / PRESIDENT)
(660) 699-2432
Entity
Organization
Contact information
Practice address
214 N GRAND ST, CLARENCE, MO 63437-1604
(660) 699-2432
(660) 699-3873
Mailing address
PO BOX 96, CLARENCE, MO 63437-0096
(660) 699-2432
(660) 699-3873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004095
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050331
PK
—
05
—
601811102
—
MO
Enumeration date
08/04/2005
Last updated
03/07/2017
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