| NPI | 1134393325 |
|---|---|
| Doing Business As | SMITHS GROVE RX SHOP |
| Entity Type | Organization |
| Authorized Contact | RANDALL YOUNG Pharmacy Operations Manager 270-597-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07249) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2016-09-08 |