Organization
SMITHERS FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL TOM BENNETT RPH (TREASURER)
(304) 549-9656
Entity
Organization
Contact information
Practice address
505 VIRGINIA ST, SMITHERS, WV 25186-8603
(304) 981-2323
(304) 981-2122
Mailing address
505 VIRGINIA ST BOX 58, SMITHERS, WV 25186-8603
(304) 981-2323
(304) 981-2122
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508339482
—
WV
Enumeration date
01/03/2019
Last updated
04/11/2020
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