Provider Demographics
NPI:1033206230
Name:SMITHS DRUGS OF HICKORY INC
Entity Type:Organization
Organization Name:SMITHS DRUGS OF HICKORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHRM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-322-5212
Mailing Address - Street 1:PO BOX 9279
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-9279
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 UNION SQ NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6110
Practice Address - Country:US
Practice Address - Phone:828-322-5212
Practice Address - Fax:828-322-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02357333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3407473OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NC0185876Medicaid