| NPI | 1841339645 |
|---|---|
| Doing Business As | SMITHS COUNTRY CLUB DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA INGELS President 501-663-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR19211) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-06-13 |