Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4318 S STATE ST, CHICAGO, IL 60609
(248) 877-5286
Mailing address
3043 N KENMORE AVE APT 1F, CHICAGO, IL 60657-4352
(248) 877-5286
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
17069
OK
Other
Enumeration date
08/15/2018
Last updated
04/10/2019
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