Organization
SMITH APOTHECARY CORP
Active
Other names
Smith Brothers Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL THESING PHARM D (PRESIDENT)
(856) 779-8300
Entity
Organization
Contact information
Practice address
25 WEST MAIN ST, MAPLE SHADE, NJ 08052
(856) 779-8300
(856) 779-9022
Mailing address
25 WEST MAIN ST, MAPLE SHADE, NJ 08052
(856) 779-8300
(856) 779-9022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00415400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739251
—
NJ
01
—
2054296
PK
—
05
—
4397606
—
NJ
01
—
7817040001
MEDICARE DME
NJ
Enumeration date
09/20/2006
Last updated
08/06/2024
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