Smith Pharmacy

LBN: Nicholas L Smith Pharmacy Llc
Smith Pharmacy is an health care organization with primary practice located at 1800 Freedom Rd Ste D , Little Chute WI 54140-3200. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nicholas L Smith Pharmacy Llc can be contacted via phone (920) 788-8888, or through Smith, Nicholas Lee via phone (920) 788-8888.

Contact Information

Primary practice address
1800 Freedom Rd Ste D Little Chute WI 54140-3200
Phone: (920) 788-8888
Fax: (920) 788-8883
Website:
Map and Directions
Authorized official contact:
Name: Smith, Nicholas Lee PHARMD
Phone: (920) 788-8888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9226-42 Wisconsin
Suppliers / Compounding Pharmacy 3336C0004X 9226-42 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X 9226-42 Wisconsin

Profile Details

NPI number 1851724637
LBN Legal business name Nicholas L Smith Pharmacy Llc
DBA Doing business as Smith Pharmacy
Authorized official Smith, Nicholas Lee PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2013
Last updated Jan 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851724637 NPPES
Other 5133905 NCPDP
MEDICAID 1851724637 NCPDP
Other 9226-42 NCPDP

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