Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #473
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
4747 HWY 95, FORT MOHAVE, AZ 86426-9377
(928) 330-3704
(833) 874-1887
Mailing address
P.O. BOX 842772, BOSTON, MA 02284
(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
3167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990500
PK
—
05
—
495441
—
AZ
05
—
95441
—
AZ
Enumeration date
07/13/2006
Last updated
09/19/2025
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