Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #426
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
224 PASEO PUEBLO SUR, TAOS, NM 87571
(575) 758-4823
(575) 758-5956
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001355
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064402
—
NM
01
—
2057635
PK
—
Enumeration date
07/13/2006
Last updated
05/17/2016
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