Individual
MR. JERRY ROBERT SMEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
PH00016183
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH-0013059
OR
Other
Enumeration date
06/17/2006
Last updated
04/02/2026
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