Individual
BROCK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4301 LYONS RD, MIAMISBURG, OH 45342-6446
(937) 458-4949
Mailing address
4301 LYONS RD, MIAMISBURG, OH 45342-6446
(937) 458-4949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439334
OH
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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