Healthcare Provider Details

I. General information

NPI: 1518985233
Provider Name (Legal Business Name): SMITH'S DRUGS OF FOREST CITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E MAIN ST
FOREST CITY NC
28043-3125
US

IV. Provider business mailing address

PO BOX 5047
MERIDIAN MS
39302-5047
US

V. Phone/Fax

Practice location:
  • Phone: 828-245-9215
  • Fax: 828-245-5013
Mailing address:
  • Phone: 800-447-4095
  • Fax: 601-482-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number07506
License Number StateNC

VIII. Authorized Official

Name: JOHN HIGGINS
Title or Position: MANAGER
Credential:
Phone: 828-245-9215