Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Fry's Pharmacy #096
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
26300 N NORTERRA PKWY, PHOENIX, AZ 85085-8210
(928) 251-7075
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
09/26/2022
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