Organization
SMITHS FOOD & DRUG CENTERS INC
Active
Other names
Fry's Pharmacy #657
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization
Contact information
Practice address
25401 N LAKE PLEASANT PKWY, PEORIA, AZ 85383-1351
(623) 235-2360
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
Y006934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214806
—
AZ
01
—
2163978
PK
—
Enumeration date
08/30/2016
Last updated
01/18/2017
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