Johnson Drug Williamsburg

LBN: Johnson Drug Williamsburg Inc.
Johnson Drug Williamsburg is an health care organization with primary practice located at 2200 Gum Branch Rd Ste 1, Jacksonville NC 28540-4574. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Johnson Drug Williamsburg Inc. can be contacted via phone (910) 938-0582, or through Medlin, Anthony via phone (910) 347-5185.

Contact Information

Primary practice address
2200 Gum Branch Rd Ste 1 Jacksonville NC 28540-4574
Fax: (910) 938-0239
Website:
Authorized official contact:
Name: Medlin, Anthony

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 08866 North Carolina

Profile Details

NPI number 1336246271
LBN Legal business name Johnson Drug Williamsburg Inc.
DBA Doing business as Johnson Drug Williamsburg
Authorized official Medlin, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 13th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336246271 NPPES
Other 2072370 PK
MEDICAID 0675595 PK

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