# SMITH DRUG & HOME MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255433975
- **Authorized official:** DR. JASON B WHITE PHARM. D. (PRESIDENT)
- **Authorized official phone:** (662) 728-5322

## Contact information

- **Practice address:** 100 S SECOND ST, BOONEVILLE, MS 38829-3225
- **Practice address phone:** (662) 728-5322
- **Practice address fax:** (662) 728-3187
- **Mailing address:** 100 S SECOND ST, BOONEVILLE, MS 38829-3225
- **Mailing address phone:** (662) 728-5322
- **Mailing address fax:** (662) 728-3187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00189/01.1 | MS | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 07/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00034231 | — | MS |