# SMITH DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith Drug Co.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356354971
- **Authorized official:** MISS TREVOR ALAN WILLIAMS RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (662) 462-5314

## Contact information

- **Practice address:** 90 MAIN ST, RIENZI, MS 38865-9144
- **Practice address phone:** (662) 462-5314
- **Practice address fax:** (662) 462-5600
- **Mailing address:** PO BOX 138, RIENZI, MS 38865-0138
- **Mailing address phone:** (662) 462-5314
- **Mailing address fax:** (662) 462-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00968/01.1 | MS | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 09/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00092177 | — | MS |
| 01 | — | 00968 | STATE PHARMACY BOARD | MS |
| 01 | — | 2506915 | NCPDP | — |