Individual
PARIS NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 355-3551
Mailing address
10410 LILAC LN APT 1234, FORT WAYNE, IN 46825-2789
(773) 230-6583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051303729
IL
1835P2201X
Ambulatory Care Pharmacist
Primary
26029856A
IN
Other
Enumeration date
02/03/2021
Last updated
01/31/2023
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