Organization
SMITHBURG RETAIL ENTERPRISE, INC.
Active
Organization
SMITHBURG RETAIL ENTERPRISE, INC.
Active
Other names
Hoffman Drug
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITHBURG (OWNER)
(719) 775-2371
Entity
Organization
Contact information
Practice address
900 MAIN ST., LIMON, CO 80828
(719) 775-2371
Mailing address
PO BOX 609, LIMON, CO 80828-0609
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
780000001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60328819
—
CO
Enumeration date
09/13/2006
Last updated
08/22/2017
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