Individual
DEREK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
727 E MAIN ST, HAVANA, IL 62644-1530
(309) 338-6735
Mailing address
727 E MAIN ST, HAVANA, IL 62644-1530
(309) 338-6735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053296617
IL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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