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Individual

MR. NICK R SMOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D, MBA

Contact information

Practice address
2327 NE SMOKEY HILL DR, LEES SUMMIT, MO 64086-7019
(816) 246-2047
(816) 246-2047
Mailing address
1575 UNIVERSAL AVE, SUITE 100, KANSAS CITY, MO 64120-2166
(816) 245-5700
(816) 245-5702

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
11181
KS
1835P1200X
Pharmacotherapy Pharmacist
35851
TX
1835P1200X
Pharmacotherapy Pharmacist
Primary
41387
MO
1835P1200X
Pharmacotherapy Pharmacist
8396
AR

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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