Provider Demographics
NPI:1346221736
Name:SMITH COUNTY DRUG CENTER INC
Entity Type:Organization
Organization Name:SMITH COUNTY DRUG CENTER INC
Other - Org Name:SMITH COUNTY DRUCH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:615-735-2223
Mailing Address - Street 1:1210 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1037
Mailing Address - Country:US
Mailing Address - Phone:615-735-2060
Mailing Address - Fax:615-735-1077
Practice Address - Street 1:1210 MAIN ST N
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1037
Practice Address - Country:US
Practice Address - Phone:615-735-2060
Practice Address - Fax:615-735-1077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4415065OtherNABP
TN1452241Medicaid
TN1452241Medicare ID - Type Unspecified