Organization
SMITH DRUG COMPANY OF PLEASANT GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINE PENCE CPHT (OWNER)
(801) 785-3221
Entity
Organization
Contact information
Practice address
10 S MAIN ST, PLEASANT GRV, UT 84062-2630
(801) 785-3221
Mailing address
10 S MAIN ST, PLEASANT GRV, UT 84062-2630
(801) 785-3221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0089917035
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600664
NABP PROVIDER NUMBER
UT
Enumeration date
07/04/2006
Last updated
08/25/2016
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