Individual
KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4918 BALTIMORE AVE, PHILADELPHIA, PA 19143-3380
(267) 969-7277
Mailing address
325 PENN RD UNIT 322, WYNNEWOOD, PA 19096-1454
(484) 663-4739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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