Organization
SMITH DRUG & HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON B WHITE PHARM. D. (PRESIDENT)
(662) 728-5322
Entity
Organization
Contact information
Practice address
100 S SECOND ST, BOONEVILLE, MS 38829-3225
(662) 728-5322
(662) 728-3187
Mailing address
100 S SECOND ST, BOONEVILLE, MS 38829-3225
(662) 728-5322
(662) 728-3187
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00189/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034231
—
MS
Enumeration date
09/02/2006
Last updated
07/29/2016
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