Provider Demographics
NPI:1144914086
Name:SMITH DRUGS LLC
Entity type:Organization
Organization Name:SMITH DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:147-827-2772
Mailing Address - Street 1:108 ROWE ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-5238
Mailing Address - Country:US
Mailing Address - Phone:147-827-2772
Mailing Address - Fax:478-272-7776
Practice Address - Street 1:108 ROWE ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-5238
Practice Address - Country:US
Practice Address - Phone:147-827-2772
Practice Address - Fax:478-272-7776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH DRUGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy