Provider Demographics
NPI:1063800365
Name:HEALTH SMART PHARMACY LLD DBA HEALTH SMART PHARMACY OF STARTOWN
Entity type:Organization
Organization Name:HEALTH SMART PHARMACY LLD DBA HEALTH SMART PHARMACY OF STARTOWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHAMACIST/OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:DEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:828-234-1785
Mailing Address - Street 1:1985 STARTOWN RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8307
Mailing Address - Country:US
Mailing Address - Phone:828-449-8910
Mailing Address - Fax:828-449-8911
Practice Address - Street 1:1985 STARTOWN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8307
Practice Address - Country:US
Practice Address - Phone:828-449-8910
Practice Address - Fax:828-449-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC182673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy