Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #365
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH STONE (PHARMACY LICENSING MANAGER)
(513) 762-1019
Entity
Organization
Contact information
Practice address
6150 W FLAMINGO RD, LAS VEGAS, NV 89103-2280
(702) 876-8753
(702) 873-7159
Mailing address
PO BOX 30550, MS 44010 010C, SALT LAKE CITY, UT 84130-0550
(801) 974-1402
(801) 973-1704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01770
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002802656
—
NV
05
—
003302656
—
NV
01
—
2051653
PK
—
Enumeration date
07/17/2006
Last updated
12/03/2013
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