Individual
DR. KATHLEEN ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
6730 BLUFFTON RD, FORT WAYNE, IN 46809-2649
(260) 747-7563
(260) 747-1909
Mailing address
6730 BLUFFTON RD, FORT WAYNE, IN 46809-2649
(260) 747-7563
(260) 747-1909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020803A
IN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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