Organization
DONALD WAYNE SMITH
Active
Organization
DONALD WAYNE SMITH
Active
Other names
Forty Nine Drug Company #2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE SMITH RPH (OWNER / PIC)
(209) 956-4949
Entity
Organization
Contact information
Practice address
104 LINCOLN CTR, STOCKTON, CA 95207-2607
(209) 956-4949
(209) 465-6831
Mailing address
937 N YOSEMITE ST, STOCKTON, CA 95203-2216
(209) 465-2671
(209) 465-6831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49148
CA
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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