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Organization

CVS/PHARMACY #9293

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID CRENSHAW SMITH R.PH. (STAFF PHARMACIST)
(480) 983-1129
Entity
Organization

Contact information

Practice address
325 W APACHE TRL, APACHE JUNCTION, AZ 85120-3954
(480) 973-1129
(480) 983-1547
Mailing address
1848 S POWER RD, APT 2323, MESS, AZ 85206
(270) 480-3066

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S019677
AZ

Other

Enumeration date
04/22/2014
Last updated
04/22/2014
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