Stephen Michael Johnson
Pharmacy in Duffield, VA. Organization (NPI-2).
NPI number1477586642
StatusActive
Last updated in NPPESMar 6, 2013
Details
- NPI
- 1477586642
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen Michael Johnson
- Organization subpart
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Mar 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 0201003487 | VA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Village Pharmacy (Doing Business As)
Practice location
443 Duff Patt HwySuite 104
Duffield, VA 24244-5191
Phone 276-431-2299 · Fax 276-431-2191
Mailing address
Po Box 383Duffield, VA 24244-0383
Phone 276-431-2299 · Fax 276-431-2191
Authorized official
Stephen Michael Johnson
Owner And Pic
2764312299
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