Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
FRYS FOOD AND DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
825 W UNIVERSITY DR, MESA, AZ 85201-5555
(480) 844-7197
(480) 844-4841
Mailing address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 907-4933
(623) 907-4990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y003097
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0313697
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
489121
—
AZ
Enumeration date
06/10/2006
Last updated
04/26/2012
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