DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SMITHS FOOD & DRUG CENTERS INC

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
1333600000XPharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail PharmacyY002342AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21989391OTHERPK

General Provider Information

NPI Number : 1245255868
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 : 80 ACOMA BLVD N
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-6932
Country : US
Telephone Number : 928-680-4449
Fax Number : 928-680-6122
Authorized Official
Title or Position : MANAGER OF PHARMACY LICENSING
Name : ALLISON MUENNICH
Credential :
Telephone Number : 513-762-1019
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/31/2016

Similar Medicare Providers

1275291726 — JILLIAN KAY KOEHN PHARMD
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-4449
Practice Fax: 928-680-6122
1891022380 — PRATANA CHAROENPHOL
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-4449
Practice Fax: 928-680-6122
1518294073 — RENEE PLANK RPH
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-4449
Practice Fax: 928-680-6122
1083034086 — AUBREY FANNING PHARMD
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-4449
Practice Fax:
1821507609 — AMANDA FABER PHARMD
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-4449
Practice Fax:
1679083463 — ELMER ADRIAN MARES MORALES PHARMD
Practice Location Address:
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ
86403-6932
Practice Phone: 928-680-7277
Practice Fax:

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.