Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Smith's Pharmacy #367
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
9710 SKYE CANYON PARK DR, LAS VEGAS, NV 89166-6569
(702) 410-8346
(702) 410-8358
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177853
PK
—
Enumeration date
05/23/2018
Last updated
04/22/2025
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