Individual
JANET DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978
Mailing address
9230 MYALL RD, LONE GROVE, OK 73443-6549
(580) 657-2861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9303
OK
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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