Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Smith's Pharmacy #271
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
1117 W 400 S, SPRINGVILLE, UT 84663-3061
(385) 685-7005
(385) 685-7015
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10320489-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168280
PK
—
Enumeration date
03/10/2017
Last updated
04/17/2017
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