Healthcare Provider Details

I. General information

NPI: 1891141990
Provider Name (Legal Business Name): SMIDI DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80850 MAIN ST
MEMPHIS MI
48041-4907
US

IV. Provider business mailing address

PO BOX 339
MEMPHIS MI
48041-0339
US

V. Phone/Fax

Practice location:
  • Phone: 810-392-2424
  • Fax: 810-392-3171
Mailing address:
  • Phone: 810-392-2424
  • Fax: 810-392-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301008418
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number5301008418
License Number StateMI

VIII. Authorized Official

Name: HUSSEIN SMIDI
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 810-392-2424