Individual
CORY MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
511 KNOX ST, BARBOURVILLE, KY 40906-1330
(606) 546-3171
(606) 546-5022
Mailing address
511 KNOX ST, BARBOURVILLE, KY 40906-1330
(606) 546-3171
(606) 546-5022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017978
KY BOARD OF PHARMACY
KY
Enumeration date
03/23/2018
Last updated
03/23/2018
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