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Individual

MR. JEFFERY DAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
146 WEST 200 SOUTH, KAMAS, UT 84036
(435) 783-4316
(435) 783-4370
Mailing address
P.O. BOX 560, 146 WEST 200 SOUTH, KAMAS, UT 84036
(435) 783-4316
(435) 783-4370

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144346-1701
UT

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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