Individual
BRONWYN SIMONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-1342
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-1342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022944
AZ
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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