Individual
TARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3025 HIGHWAY 98, DAPHNE, AL 36526-4627
(251) 621-7266
Mailing address
3025 HIGHWAY 98, DAPHNE, AL 36526-4627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14979
AL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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