Individual
RAE CHRISTY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
6721 CHESAPEAKE CENTER DR, GLEN BURNIE, MD 21060-6572
(410) 863-1285
(410) 863-1287
Mailing address
3509 FAIRVIEW AVE FL 1, BALTIMORE, MD 21216-1420
(410) 340-4637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22825
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22825
PHARMACY LICENSE NUMBER
MD
Enumeration date
09/30/2017
Last updated
09/30/2017
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