Individual
AMY NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2801 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-6816
(765) 463-0910
Mailing address
1862 ALYDAR DR, WEST LAFAYETTE, IN 47906-4678
(765) 427-3212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019620A
IN
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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