Individual
MR. JAY RICHARD SMELKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4374 E. BUTTE AVE, FLORENCE, AZ 85232
(520) 868-0201
Mailing address
275 W JUNIPER AVE, APT 2042, GILBERT, AZ 85233-3920
(480) 620-6293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19289
MD
183500000X
Pharmacist
RP442494
PA
183500000X
Pharmacist
Primary
S010293
AZ
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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