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LEE H JOHNSTON INC. NPI 1255315909


NPI Information

NPI: 1255315909
Provider Name: LEE H JOHNSTON INC.

Doing Business As: MEDICINE PARK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 34D2249824

Address:
100 PARK AVE
SANFORD, NC
ZIP 27330
Phone: (919) 776-9715
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LEE H JOHNSTON INC. is a pharmacy in Sanford, NC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LEE H JOHNSTON INC. NPI is 1255315909. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Park Pharmacy.

The provider's business location address is:

100 PARK AVE
SANFORD, NC
ZIP 27330-027
Phone: (919) 776-9715
Fax: (919) 775-1360

The provider's authorized official is William S Cameron .
The authorized official title is President/managing Pharmacist and has the following contact phone number (919) 776-9715.

The CLIA number assigned to this NPI record is 34D2249824 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 9/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy3476NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13416016OTHERNORTH CAROLINANABP
20535138MEDICAIDNORTH CAROLINA
30130920001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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