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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	1296581703	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2108207	OTHER		PK

General Provider Information

NPI Number	:	1861417495
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	:	845 E 4500 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-3049
Country	:	US
Telephone Number	:	801-261-8787
Fax Number	:	801-263-8523

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	:	05/17/2016

Similar Medicare Providers

1962045633 — TRACY KATHRYN WANG
Practice Location Address:

845 E 4500 S
SALT LAKE CITY, UT
84107-3049

Practice Phone: 801-261-8787
Practice Fax: 801-263-8523

1902407240 — DAVID ANDREW FEOLO PHARM D
Practice Location Address:

845 E 4500 S
SALT LAKE CITY, UT
84107-3049

Practice Phone: 801-261-8787
Practice Fax:

1801966098 — MRS. CHARLENE L. GRIFFIN M.T.
Practice Location Address:

1613 MAIN ST
LAKE COMO, NJ
07719-3049

Practice Phone: 732-245-2851
Practice Fax:

1700905916 — MRS. KYLA LEE JONAH-HOURIHAN PT
Practice Location Address:

37 CARTER STREET
EAGLE LAKE, ME
04739-3049

Practice Phone: 207-444-5152
Practice Fax: 207-444-2878

1710197207 — NETWORK FOR NATIVE FUTURES
Practice Location Address:

6781 160TH ST NW
CASS LAKE, MN
56633-3049

Practice Phone: 218-766-6718
Practice Fax: 218-335-6749

1972821668 — AYANNA WILLIAMS ROBINSON LPN
Practice Location Address:

7780 COMPTON LAKE DR APT C
CINCINNATI, OH
45231-3049

Practice Phone: 513-846-3977
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.