Provider Information for 1578588109
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SMITHS FOOD & DRUG CENTERS INC
Other Names:Doing Business As:SMITHS PHARMACY # 142Organization Subpart: NO
NPI: 1578588109
Last Updated: 2016-05-18
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Details
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NPI | 1578588109 | ||||||||||||||||
Enumeration Date | 2006-07-13 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: ALLISON MUENNICH Title: MANAGER OF PHARMACY LICENSING Phone: 5137621019 | ||||||||||||||||
Mailing Address | PO BOX 842772 BOSTON, MA 02284-2772 United States Phone: 513-762-1019 | Fax:513-762-1092 | ||||||||||||||||
Primary Practice Address | 951 W 1700 S SYRACUSE, UT 84075-9127 United States Phone: 801-773-5373 | Fax:801-773-0399 | ||||||||||||||||
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