Provider Demographics
NPI:1407391162
Name:SMITH PHARMACY LLC
Entity Type:Organization
Organization Name:SMITH PHARMACY LLC
Other - Org Name:AFFORDABLE PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-888-7392
Mailing Address - Street 1:1707 GARDERE LN
Mailing Address - Street 2:SUITE F
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-8144
Mailing Address - Country:US
Mailing Address - Phone:225-655-3337
Mailing Address - Fax:225-636-2427
Practice Address - Street 1:1707 GARDERE LN
Practice Address - Street 2:SUITE F
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-8144
Practice Address - Country:US
Practice Address - Phone:225-655-3337
Practice Address - Fax:225-636-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0074093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy