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Individual

KIMBERLY SUZANNE SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8223
(850) 474-8281
Mailing address
PO BOX 11151, PENSACOLA, FL 32524-1151
(850) 474-8223
(850) 474-8281

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1025116
NABP
FL
Enumeration date
12/23/2005
Last updated
07/08/2007
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