Provider Information for 1285712398
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SMITH'S OF GASTONIA, INC.
Other Names:Other Name:SMITH DRUGSOrganization Subpart: NO
NPI: 1285712398
Last Updated: 2010-04-07
Certification Date:
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Details
Name | Value | ||||||||||||
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NPI | 1285712398 | ||||||||||||
Enumeration Date | 2006-11-02 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: Mr. ARNOLD M WALKER RPH Title: President Phone: 7048652354 | ||||||||||||
Mailing Address | 121 W MAIN AVE GASTONIA, NC 28052-4154 United States Phone: 704-864-2354 | Fax:704-867-3913 | ||||||||||||
Primary Practice Address | 121 W MAIN AVE GASTONIA, NC 28052-4154 United States Phone: 704-864-2354 | Fax:704-867-3913 | ||||||||||||
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