Organization
J J J SMITH INC
Active
Organization
J J J SMITH INC
Active
Other names
Smith Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BLAKE JOHNSON PHARM. D. (OWNER / PHARMACIST)
(501) 336-8188
Entity
Organization
Contact information
Practice address
2425 DAVE WARD DR ST 602, CONWAY, AR 72034
(501) 336-8188
(501) 336-8177
Mailing address
2425 DAVE WARD DRIVE ST 602, CONWAY, AR 72034
(501) 336-8188
(501) 336-8177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20709
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139577
PK
—
01
—
P01689342
RAILROAD MEDICARE
AR
Enumeration date
03/20/2013
Last updated
05/03/2022
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