Organization
SMITH'S FOOD & DRUG CENTERS INC
Active
Other names
FRY'S PHARMACY #693
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
25105 S. ELLSWORTH RD, QUEEN CREEK, AZ 85142
(480) 428-7616
(480) 428-7617
Mailing address
PO BOX 2918, HUTCHINSON, KS 67504-2918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
12/20/2022
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