Organization
SMOTHERMAN INC
Active
Other names
R & K DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RICKEY SMOTHERMAN RPH (OWNER)
(318) 495-5155
Entity
Organization
Contact information
Practice address
2832 FRONT ST, OLLA, LA 71465
(318) 495-5155
(318) 495-5635
Mailing address
PO BOX 699, OLLA, LA 71465-0699
(318) 495-5155
(318) 495-5635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY001740IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254045
—
LA
01
—
2031153
PK
—
Enumeration date
12/27/2006
Last updated
03/21/2016
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