Individual
CARSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Mailing address
18395 95TH PL N, MAPLE GROVE, MN 55311-1293
(612) 616-5494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
127011
MN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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