Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Fry's Pharmacy #667
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
13730 W CAMELBACK RD, LITCHFIELD PARK, AZ 85340-3075
(623) 334-7740
(623) 334-7741
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158854
PK
—
Enumeration date
03/15/2016
Last updated
12/07/2016
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