Organization
SMITH-MCKENNEY CO INC
Active
Other names
SMITH MCKENNEY CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
S HAYSE (OWNER/PRESIDENT)
(502) 633-2115
Entity
Organization
Contact information
Practice address
141 BUCK CREEK RD, SIMPSONVILLE, KY 40067-6674
(502) 633-2115
(502) 633-9499
Mailing address
PO BOX 547, SHELBYVILLE, KY 40066-0547
(502) 722-2115
(502) 633-1133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06884
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828106
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54005707
—
KY
Enumeration date
01/26/2006
Last updated
05/25/2012
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