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NPI 1881363075

NPI 1881363075 : SMITH'S FOOD & DRUG CENTERS INC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1881363075
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMITH'S FOOD & DRUG CENTERS INC 
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Dates
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    Enumeration Date     |    09/10/2021
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    Last Update Date     |    02/10/2023
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Provider Practice Location Address
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    Address Line         |    845 E LAKE MEAD PKWY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89011
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    Country              |    US
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    Telephone            |    702-268-2885
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    Fax                  |    702-425-8854
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2918 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67504-2918
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHARMACY MANAGER
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    Name                 |     LYSETTE  SEILHAMER 
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    Credential           |    
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    Telephone            |    513-762-1090
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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       |    
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    License Number State |    
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