Provider Demographics
NPI:1851866057
Name:SMITH MANAGEMENT SERVICES LLC
Entity Type:Organization
Organization Name:SMITH MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-422-3584
Mailing Address - Street 1:3202 INDIANA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4037
Mailing Address - Country:US
Mailing Address - Phone:417-623-3800
Mailing Address - Fax:
Practice Address - Street 1:3202 INDIANA AVE STE B
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4037
Practice Address - Country:US
Practice Address - Phone:417-623-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH MANAGEMENT SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy