Individual
HALEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
9 OAK HILL TER, HERCULANEUM, MO 63048-1063
(636) 212-3775
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2025012834
MO
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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