Organization
SMITH'S FOOD AND DRUG PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY H. LEW REGISTERED PHARMACIS (PHARMACY MGR)
(208) 529-5300
Entity
Organization
Contact information
Practice address
400 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4367
(208) 529-5300
Mailing address
400 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4367
(208) 529-5300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1288CP
ID
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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