<Unavail>

LBN: Smith Drug Pllc
<Unavail> is an health care organization with primary practice located at 695 E 3Rd St , Gentry AR 72734-8258. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Smith Drug Pllc can be contacted via phone (479) 736-2241, or through Smith, Stephen via phone (479) 736-2241.

Contact Information

Primary practice address
695 E 3Rd St Gentry AR 72734-8258
Phone: (479) 736-2241
Fax: (479) 736-8081
Website:
Map and Directions
Authorized official contact:
Name: Smith, Stephen RPH
Phone: (479) 736-2241

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR11140 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1255410999
LBN Legal business name Smith Drug Pllc
DBA Doing business as <Unavail>
Authorized official Smith, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Mar 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255410999 NPPES
Other 0411140 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100699407 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100231640A NCPDP PROVIDER IDENTIFICATION NUMBER

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