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	1035	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2051948	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326063942
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	:	1400 N 19TH AVE
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-3647
Country	:	US
Telephone Number	:	406-586-3550
Fax Number	:	406-586-0788

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	:	10/04/2016

Similar Medicare Providers

1720439748 — TAYLEE MILLER PHARMD
Practice Location Address:

1400 N 19TH AVE
BOZEMAN, MT
59718-3647

Practice Phone: 406-586-3550
Practice Fax:

1174129753 — JERAD WILLIAM COX
Practice Location Address:

1400 N 19TH AVE
BOZEMAN, MT
59718-3647

Practice Phone: 406-586-3550
Practice Fax: 406-586-0788

1689405466 — SARA LUKKASON
Practice Location Address:

950 STONERIDGE DR STE 1
BOZEMAN, MT
59718-7063

Practice Phone: 406-624-6007
Practice Fax:

1376868927 — DR. ADAM RICHARD STUTTS D.D.S.
Practice Location Address:

610 BOARDWALK AVE , STE 201
BOZEMAN, MT
59718

Practice Phone: 406-582-8010
Practice Fax: 406-582-5183

1619822863 — WILLOW SAGE CHIROPRACTIC PLLC
Practice Location Address:

614 S FERGUSON AVE STE 1
BOZEMAN, MT
59718-6413

Practice Phone: 406-600-4949
Practice Fax:

1265806137 — NICOLE LASKA D.C.
Practice Location Address:

614 S FERGUSON AVE STE 1
BOZEMAN, MT
59718-6413

Practice Phone: 406-600-4949
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.