Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #383
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (MANAGER OF PHARMACY CREDENTIALING)
(513) 698-1878
Entity
Organization
Contact information
Practice address
4440 N RANCHO DR, LAS VEGAS, NV 89130-3406
(702) 645-6200
(702) 645-7399
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
PH00770
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302553
—
NV
05
—
1215952833
—
NV
01
—
2056670
PK
—
Enumeration date
07/13/2006
Last updated
08/18/2014
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