Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #190
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3490 N STOCKTON HILL RD, KINGMAN, AZ 86409-3680
(928) 757-3338
(928) 757-8472
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988761
PK
—
05
—
301606
—
AZ
Enumeration date
07/13/2006
Last updated
09/19/2016
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