Individual
RICKEY SMOTHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2832 FRONT STREET, OLLA, LA 71465
(318) 495-5155
(318) 495-5635
Mailing address
PO BOX 699, OLLA, LA 71465-0699
(318) 495-5155
(318) 495-5635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011737
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254045
—
LA
Enumeration date
01/13/2012
Last updated
01/13/2012
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