| NPI | 1437518800 |
|---|---|
| Doing Business As | SMITHS GROVE PRESCRIPTION SHOP |
| Entity Type | Organization |
| Authorized Contact | RANDALL THEODORE YOUNG Manager 270-563-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07731) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |