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Organization

SMITHS FOOD & DRUG CENTERS INC

Active
Other names
Smith's Pharmacy #274
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization

Contact information

Practice address
5710 W 7800 S, WEST JORDAN, UT 84081-5400
(801) 545-3480
(801) 545-3484
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
9196103-1703
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740683457
UT
01
2148327
PK
Enumeration date
10/08/2014
Last updated
10/28/2016
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