MEDICARE: SMITHS FOOD & DRUG CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy	Y002094	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1989015	OTHER		PK

General Provider Information

NPI Number	:	1003858671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITHS FOOD & DRUG CENTERS INC

Provider Business Mailing Address
First Line	:	PO BOX 842772
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-2772
Country	:	US
Telephone Number	:	513-762-1019
Fax Number	:	513-762-1092

Provider Business Practice Location Address
First Line	:	6601 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-3339
Country	:	US
Telephone Number	:	623-846-1533
Fax Number	:	623-846-6403

Authorized Official
Title or Position	:	MANAGER OF PHARMACY LICENSING
Name	:	ALLISON MUENNICH
Credential	:
Telephone Number	:	513-762-1019

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	05/16/2016

Similar Medicare Providers

1770818635 — SOFIA GONZALEZ-TSAI DOCTOR OF PHARMACY
Practice Location Address:

6601 W INDIAN SCHOOL RD
PHOENIX, AZ
85033-3339

Practice Phone: 623-846-1533
Practice Fax: 623-846-6403

1669784856 — RODNEY M STIRLING PHARM. D.
Practice Location Address:

6601 W INDIAN SCHOOL RD
PHOENIX, AZ
85033-3339

Practice Phone: 623-846-1533
Practice Fax: 623-846-6403

1124577515 — JESSICA JALISE VALENZUELA PHARM.D.
Practice Location Address:

6601 W INDIAN SCHOOL RD
PHOENIX, AZ
85033-3339

Practice Phone: 623-846-0622
Practice Fax:

1851071450 — DANIEL RYAN OTIS PHARM.D
Practice Location Address:

6601 W INDIAN SCHOOL RD
PHOENIX, AZ
85033-3339

Practice Phone: 623-846-1533
Practice Fax:

1528064169 — DR. LISA TONI DAVIS KULP D.M.D.
Practice Location Address:

4517 N 32ND ST
PHOENIX, AZ
85018-3339

Practice Phone: 480-924-3062
Practice Fax:

1922178086 — VALLEY DENTAL GROUP, LTD
Practice Location Address:

4517 N 32ND ST
PHOENIX, AZ
85018-3339

Practice Phone: 602-956-2260
Practice Fax: 602-956-0479

Directions to “SMITHS FOOD & DRUG CENTERS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.