Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #180
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
906 CAMEL DR, GILLETTE, WY 82716-4902
(307) 682-1217
(307) 682-0823
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5203334
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113744100
—
WY
01
—
2111591
PK
—
Enumeration date
07/13/2006
Last updated
06/28/2016
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