Organization
SMITH DRUG PLLC
Active
Other names
SMITH DRUG PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SMITH RPH (OWNER/PHARM)
(479) 736-2241
Entity
Organization
Contact information
Practice address
695 E 3RD ST, GENTRY, AR 72734-8258
(479) 736-2241
(479) 736-8081
Mailing address
PO BOX 629, GENTRY, AR 72734-0629
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR11140
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411140
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100231640A
—
OK
05
—
100699407
—
AR
Enumeration date
11/03/2006
Last updated
03/29/2012
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