Individual
PHIL GARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
421 W MAIN ST, TRUMANN, AR 72472-3116
(870) 483-6391
(870) 483-2710
Mailing address
31382 TULOT RD, TRUMANN, AR 72472-8469
(870) 483-2205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05888
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05888
ARK PHARMACIST
AR
Enumeration date
11/02/2006
Last updated
07/08/2007
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