Individual
DR. AMIRA REZK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
206 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-1951
(662) 728-1873
Mailing address
206 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-1951
(662) 728-1873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09836
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5871750001
MEDICARE DME
MS
Enumeration date
10/25/2006
Last updated
11/14/2007
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