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General NPI Number Information
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NPI Number | 1285929976
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Entity Type | Organization
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Legal Business Name | SMITHS FOOD & DRUG CENTERS INC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 11203 E. SOUTH FRONTAGE RD.
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City | YUMA
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State | AZ
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Zip | 85367
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Country | US
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Telephone | 928-342-1332
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Fax | 928-342-1382
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Provider Business Mailing Address
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Address Line | P.O. BOX 842772
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City | BOSTON
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State | MA
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Zip | 02284
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Country | US
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Telephone | 513-762-1019
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Fax | 513-762-1092
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Authorized Official
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Title or Position | MANAGER OF PHARMACY LICENSING
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Name | JESSIE WARMAN
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Credential |
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Telephone | 513-762-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005375
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License Number State | AZ
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