Individual
DR. ASHANTI ELENA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PHARM.D
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018294
LA
207Q00000X
Family Medicine Physician
Primary
312969
LA
Other
Enumeration date
09/17/2010
Last updated
10/17/2019
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