Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Fry's Pharmacy #678
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETTE SEILHAMER (MANAGER OF LICENSING)
(515) 762-1090
Entity
Organization
Contact information
Practice address
16400 W. PAT TILLMAN BLVD., SURPRISE, AZ 85387
(480) 863-5620
(480) 863-5621
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
03/10/2023
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