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Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #477
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
750 N MAIN ST, LOGAN, UT 84321-3227
(435) 753-1643
(435) 750-2127
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
56184811703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106924
PK
—
05
—
807330400
—
ID
05
—
807331500
—
ID
Enumeration date
07/13/2006
Last updated
05/17/2016
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