Individual
TASHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9194 MANSFIELD RD, SHREVEPORT, LA 71118-3123
(318) 687-7272
Mailing address
PO BOX 211, GRAYSON, LA 71435-0211
(318) 547-6976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023635
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.023635
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
10/03/2020
Last updated
10/03/2020
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