Healthcare Provider Details

I. General information

NPI: 1518927706
Provider Name (Legal Business Name): SMITHS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S MILL ST
LINDEN TN
37096-6457
US

IV. Provider business mailing address

119 S MILL ST
LINDEN TN
37096-6457
US

V. Phone/Fax

Practice location:
  • Phone: 931-589-2146
  • Fax:
Mailing address:
  • Phone: 931-589-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17
License Number StateTN

VIII. Authorized Official

Name: PATRICIA W SMITH
Title or Position: PHARMACIST
Credential:
Phone: 931-589-2146