Individual
MR. JEROLD ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
551 E JACKSON BLVD, ELKHART, IN 46516-3528
(574) 293-0040
(574) 389-8426
Mailing address
551 E JACKSON BLVD, ELKHART, IN 46516-3528
(574) 293-0040
(574) 389-8426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013660A
IN
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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