Individual
DUSTIN TYLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
3615 19TH ST # MS 108, LUBBOCK, TX 79410-1203
(806) 725-7979
(806) 723-7979
Mailing address
5512 79TH ST, LUBBOCK, TX 79424-2606
(806) 292-3889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53230
TX
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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