Individual
MR. DAVE MARTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
8001 LINCOLN AVE, SKOKIE, IL 60077-3695
(847) 588-7474
(847) 588-7060
Mailing address
402 W RESSEGUIE ST, BOISE, ID 83702-4438
(208) 371-9912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44212
ID
183500000X
Pharmacist
51023
TX
183500000X
Pharmacist
RPH-0012414-P
OR
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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