Provider Demographics
NPI:1851444590
Name:SMITHS PLAZA DRUGS INC
Entity Type:Organization
Organization Name:SMITHS PLAZA DRUGS INC
Other - Org Name:PLAZA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,
Authorized Official - Phone:334-297-1505
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:SMITHS STATION
Mailing Address - State:AL
Mailing Address - Zip Code:36877-0398
Mailing Address - Country:US
Mailing Address - Phone:334-297-1505
Mailing Address - Fax:334-297-1561
Practice Address - Street 1:2463 LEE ROAD 430
Practice Address - Street 2:
Practice Address - City:SMITHS STATION
Practice Address - State:AL
Practice Address - Zip Code:36877
Practice Address - Country:US
Practice Address - Phone:334-297-1505
Practice Address - Fax:334-297-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL107865332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies