Individual
AUTUMN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5367
Mailing address
109 WEATHERIDGE DR, HURRICANE, WV 25526-8744
(304) 380-1178
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03445830
OH
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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