Healthcare Provider Details

I. General information

NPI: 1164056206
Provider Name (Legal Business Name): SMITH DRUG AND COMPOUNDING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY LN STE 103
HOT SPRINGS AR
71913-6408
US

IV. Provider business mailing address

1629 AIRPORT RD STE D
HOT SPRINGS AR
71913-8069
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-2900
  • Fax: 501-363-7400
Mailing address:
  • Phone: 501-767-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LANCE SMITH
Title or Position: PRESIDENT
Credential:
Phone: 501-767-2220