Organization
SMITH'S PHARMACY INC
Active
Other names
Smith's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAZEMORE RPH (OWNER AND PHARMACIST)
(478) 862-5655
Entity
Organization
Contact information
Practice address
10 N POPLAR ST STE A, BUTLER, GA 31006-4505
(478) 862-5655
(478) 862-2811
Mailing address
PO BOX 546, BUTLER, GA 31006-0546
(478) 862-5655
(478) 862-2811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00793295A
—
GA
05
—
00793295B
—
GA
01
—
2016222
PK
—
Enumeration date
08/08/2006
Last updated
06/03/2025
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