Healthcare Provider Details

I. General information

NPI: 1346221736
Provider Name (Legal Business Name): SMITH COUNTY DRUG CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 06/29/2020
Certification Date: 06/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 MAIN ST N
CARTHAGE TN
37030-1037
US

IV. Provider business mailing address

1210 MAIN ST N
CARTHAGE TN
37030-1037
US

V. Phone/Fax

Practice location:
  • Phone: 615-735-2060
  • Fax: 615-735-1077
Mailing address:
  • Phone: 615-735-2060
  • Fax: 615-735-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET TRAINHAM
Title or Position: AUTHORIZED OFFICIAL
Credential: PHARM D
Phone: 615-735-2223