Provider Demographics
NPI:1730253832
Name:THOMAS E. SMART & HARRY L. WHITE JR.
Entity type:Organization
Organization Name:THOMAS E. SMART & HARRY L. WHITE JR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ELIJAH
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:RRP
Authorized Official - Phone:910-582-1776
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-0791
Mailing Address - Country:US
Mailing Address - Phone:910-582-1776
Mailing Address - Fax:910-582-2506
Practice Address - Street 1:41 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3629
Practice Address - Country:US
Practice Address - Phone:910-582-1776
Practice Address - Fax:910-582-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC022273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0775031Medicaid
NC3407118OtherNABP