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General NPI Number Information
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NPI Number | 1558318683
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Entity Type | Organization
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Legal Business Name | JOHNSON DRUG COMPANY INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 714 NEW BRIDGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5435
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Country | US
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Telephone | 910-347-5185
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Fax | 910-347-9298
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | JACKSONVILLE
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State | NC
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Zip | 28541-0250
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Country | US
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Telephone | 910-347-5185
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Fax | 910-347-9298
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY MEDLIN
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Credential |
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Telephone | 910-347-5185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 08865
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License Number State | NC
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