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General NPI Number Information
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NPI Number | 1063410272
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Entity Type | Organization
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Legal Business Name | SMITH'S PHARMACY INC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1331 E WYOMING AVE
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City | PHILA
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State | PA
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Zip | 19124-3808
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Country | US
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Telephone | 215-537-3000
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Fax | 215-537-9520
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Provider Business Mailing Address
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Address Line | 1331 E WYOMING AVE
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City | PHILA
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State | PA
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Zip | 19124-3808
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Country | US
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Telephone | 215-537-3000
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Fax | 215-537-9520
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID B SMITH
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Credential |
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Telephone | 215-537-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP481348
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License Number State | PA
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