Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
SMITHS PHARMACY #87
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN ANDREWS (MANAGER OF LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
442 N 175 E, LOGAN, UT 84321-5570
(435) 753-6570
(435) 750-0931
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1319971703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099734
PK
—
05
—
807335500
—
ID
Enumeration date
07/17/2006
Last updated
12/13/2021
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