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Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITH'S PHARMACY #276
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
5448 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5901
(801) 501-7180
(801) 501-7185
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770930802
—
UT
01
—
2160220
PK
—
05
—
3000572
—
UT
Enumeration date
05/18/2016
Last updated
10/28/2016
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