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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