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Organization
WILES DRUG STORE INC
Active
Organization
WILES DRUG STORE INC
Active
Other names
Wiles Smith Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NATHAN SMITH DPH (PHARMACIST OWNER)
(901) 278-6416
Entity
Organization
Contact information
Practice address
1635 UNION AVE, MEMPHIS, TN 38104
(901) 278-6416
(901) 278-6416
Mailing address
1635 UNION AVE, MEMPHIS, TN 38104
(901) 278-6416
(901) 278-6416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0000000888
TN
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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