Provider Demographics
NPI:1831413566
Name:SMITH DRUG COMPANY INC
Entity type:Organization
Organization Name:SMITH DRUG COMPANY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-253-6000
Mailing Address - Street 1:146 PASSION PLAY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9495
Mailing Address - Country:US
Mailing Address - Phone:479-253-6000
Mailing Address - Fax:479-253-2226
Practice Address - Street 1:146 PASSION PLAY RD STE B
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9455
Practice Address - Country:US
Practice Address - Phone:479-253-6000
Practice Address - Fax:479-253-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0002X, 3336C0004X
ARAR206293336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0423397OtherNCPDP PROVIDER IDENTIFICATION NUMBER