Individual
JOEY N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19024 POKND FORK RD, VAN, WV 25206
(304) 245-8255
Mailing address
PO BOX 450, VAN, WV 25206-0450
(304) 245-8255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005042
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0005042
WV BOARD OF PHARMACY
WV
Enumeration date
03/21/2018
Last updated
03/21/2018
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