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Individual

BART ANDREW SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2431 W MAIN ST, CARBONDALE, IL 62901-1039
(618) 457-0491
Mailing address
2006 EMILY LN, MARION, IL 62959-5992
(618) 917-5830

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294216
IL

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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