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Organization

SMITHS FOOD & DRUG CENTERS INC

Active
Other names
SMITHS PHARMACY #448
Organization subpart
No

Provider details

NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization

Contact information

Practice address
8301 GOLF COURSE RD NW, ALBUQUERQUE, NM 87120-5801
(505) 897-1321
(505) 897-1013
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
PH00001756
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00061219
NM
01
2058187
PK
Enumeration date
07/13/2006
Last updated
02/03/2020
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