Organization
SMA GROUP INCORPORATED
Active
Other names
SMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KORN (OFFICER)
(214) 521-8800
Entity
Organization
Contact information
Practice address
8067 W VIRGINIA DR, DALLAS, TX 75237-3767
(214) 635-3435
(214) 635-3440
Mailing address
PO BOX 1893, MANSFIELD, TX 76063-0017
(214) 635-3435
(214) 635-3440
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148921
—
TX
01
—
2099659
PK
—
Enumeration date
10/20/2006
Last updated
07/19/2018
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