Individual
MR. NICK R SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D, MBA
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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