Organization
SMEE DRUG STORE INC
Active
Organization
SMEE DRUG STORE INC
Active
Other names
SMEE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETHQ FERGUSON PD (PHARMACIST IN CHARGE PRESIDENT)
(479) 675-2306
Entity
Organization
Contact information
Practice address
32 W MAIN ST, BOONEVILLE, AR 72927-3635
(479) 675-2306
(479) 675-2745
Mailing address
PO BOX 479, BOONEVILLE, AR 72927-0479
(479) 675-2306
(479) 675-2745
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR13637
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413637
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100854407
—
AR
05
—
136442716
—
AR
Enumeration date
08/31/2006
Last updated
01/27/2010
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