Individual
KELLY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
108 N MARKET ST, MONTICELLO, IL 61856-1636
(217) 762-2056
Mailing address
108 N MARKET ST, MONTICELLO, IL 61856-1636
(217) 762-2056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293555
IL
183500000X
Pharmacist
Primary
293555
IL
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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