NPI 1639480049

Smith Drug Company

Organisation Health Maintenance Organization Paragould, AR

Practice location

Address: 1104 Jones Rd, Paragould, AR 72450-7579
Phone: (870) 268-6100
Fax: (870) 268-6125

Authorised official

Name: Terrie J Thompson
Title: Nurse Manager
Phone: (870) 268-6100

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence P00932 (AR)

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Nursing Facility/Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence R09418 (AR)

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Registry record

NPI: 1639480049
Entity type: Organization
NPI issued: 30 Jun 2010
Record last updated: 30 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.