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Individual

KEITH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
382 RIDGE DR, HAYDEN, AL 35079-7013
(205) 590-7234
Mailing address
382 RIDGE DR, HAYDEN, AL 35079-7013
(205) 590-7234

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S10646
AL

Other

Enumeration date
05/03/2013
Last updated
05/03/2013
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