Individual
DUSTIN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1229 N EASTERN AVE, MOORE, OK 73160-5860
(405) 793-1120
(405) 793-9536
Mailing address
1229 N EASTERN AVE, MOORE, OK 73160-5860
(405) 793-1120
(405) 793-9536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14778
OK
183500000X
Pharmacist
49055
TX
Other
Enumeration date
02/13/2011
Last updated
08/09/2013
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