Individual
JENNIFER SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 EAST DIXON BLVD, SHELBY, NC 28150
(704) 484-0051
Mailing address
705 E DIXON BLVD, SHELBY, NC 28152-6821
(704) 484-0051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13572
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13572
LICENSE NUMBER
NC
Enumeration date
07/22/2014
Last updated
07/22/2014
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