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Organization

SMITHS FOOD & DRUG CENTERS INC

Active
Other names
SMITHS PHARMACY #467
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization

Contact information

Practice address
751 TRINITY DR STE 100, LOS ALAMOS, NM 87544-3356
(505) 662-4778
(505) 661-2766
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
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH00002369
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000K1145
NM
01
2058728
PK
Enumeration date
07/17/2006
Last updated
04/22/2025
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