Provider Demographics
NPI:1194241489
Name:SMITH MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:SMITH MANAGEMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PURSCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-552-1216
Mailing Address - Street 1:PO BOX 172678
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-0064
Mailing Address - Country:US
Mailing Address - Phone:800-552-1216
Mailing Address - Fax:855-971-3783
Practice Address - Street 1:252 STRATTON RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4623
Practice Address - Country:US
Practice Address - Phone:802-775-3351
Practice Address - Fax:802-774-5052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH MANAGEMENT SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy