Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #491
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
2110 S PACHECO ST, SANTA FE, NM 87505-5458
(505) 473-5563
(505) 473-0842
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
PH00002370
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K1946
—
NM
01
—
2058851
PK
—
Enumeration date
07/17/2006
Last updated
05/16/2016
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