Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
FRYS FOOD AND DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
4505 E THOMAS RD, PHOENIX, AZ 85018-7614
(602) 952-1491
(602) 952-9310
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y002672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989743
PK
—
05
—
199621
—
AZ
Enumeration date
06/11/2006
Last updated
05/16/2016
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