# SMITHS FOOD & DRUG CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMITHS PHARMACY \#87
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780601302
- **Authorized official:** VICTORIA LYNN ANDREWS (MANAGER OF LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 442 N 175 E, LOGAN, UT 84321-5570
- **Practice address phone:** (435) 753-6570
- **Practice address fax:** (435) 750-0931
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1319971703 | UT | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 12/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2099734 | PK | — |
| 05 | — | 807335500 | — | ID |