Smith'S Pharmacy of McRae, L.L.C.
Organization Active NPI Community/Retail Pharmacy · MC Rae, GA
NPI 1669438560 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1669438560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE008727 (GA)
- Legal business name
- SMITH'S PHARMACY OF MCRAE, L.L.C.
- Practice address
- 112 W Oak Street
MC Rae, GA 31055 - Phone
- (229) 868-2580
- Fax
- (229) 868-2529
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Danny Carlton Smith Jr.
- Title
- Owner Pharmacist
- Phone
- (229) 868-2580
National Provider Directory
Locations
112 W Oak St
Mc Rae Helena, GA 31055
Phone (229) 868-2580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE008727 | GA | Yes |
Addresses
Primary practice location
112 W Oak Street
MC Rae, GA 31055
Mailing address
112 W Oak Street
MC Rae, GA 31055
Phone (229) 868-2580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218161597A | Medicaid | GA |
Other names
- SMITH'S PHARMACY
Other providers in MC Rae, GA
- S & P Drug Co
- Salvat Internal Medicine, LLC
- Brena Johnson Siddall
- Brian Douglas Siddall
- Katherine Danelle Smith
- Waylon Spires
- Heather J Spivey
- Tiffany Waters Spurlin
- Telfair County EMS
- Telfair County Health Department
All providers in MC Rae, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.