Organization
WILES DRUG STORE INC
Active
Other names
Wiles Smith Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NATHAN SMITH DPH (PHARMACIST OWNER)
(901) 278-6416
Entity
Organization
Contact information
Practice address
1635 UNION AVE, MEMPHIS, TN 38104
(901) 278-6416
(901) 278-6416
Mailing address
1635 UNION AVE, MEMPHIS, TN 38104
(901) 278-6416
(901) 278-6416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0000000888
TN
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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