Individual
BIANCA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 HIGHWAY 45 N, COLUMBUS, MS 39705-1950
(662) 329-1766
Mailing address
500 MALLORY LN APT 27K, STARKVILLE, MS 39759-7109
(901) 239-6301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E16279
MS
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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