Individual
MARILYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13870 W GREENWAY RD, SURPRISE, AZ 85374-5293
(623) 546-0512
Mailing address
9711 W BLACK HILL RD, PEORIA, AZ 85383-8773
(623) 572-6530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013217
AZ
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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