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Provider Information for 1285712398


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SMITH'S OF GASTONIA, INC.

Other Names:  
Other Name: 
SMITH DRUGS

Organization Subpart: NO

NPI: 1285712398
Last Updated: 2010-04-07
Certification Date:

Details

NameValue
NPI1285712398
Enumeration Date2006-11-02
NPI TypeNPI-2 Organization
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NC3406469bcns
MEDICAIDNC7701710
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies NC06533
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyNC06533