Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #499
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (MANAGER OF PHARMACY CREDENTIALING)
(513) 698-1878
Entity
Organization
Contact information
Practice address
901 N CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 835-9495
(575) 838-4916
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00002367
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K2066
—
NM
01
—
2058726
PK
—
Enumeration date
07/13/2006
Last updated
04/07/2014
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