Provider Demographics
NPI:1962253765
Name:SMITH DRUG AND COMPOUNDING, INC.
Entity type:Organization
Organization Name:SMITH DRUG AND COMPOUNDING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-624-2900
Mailing Address - Street 1:1 MERCY LN STE 103
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6408
Mailing Address - Country:US
Mailing Address - Phone:501-624-2900
Mailing Address - Fax:
Practice Address - Street 1:1 MERCY LN STE 103
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6408
Practice Address - Country:US
Practice Address - Phone:501-624-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy