Individual
MALCOLM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 S RANGE LINE RD, JOPLIN, MO 64804-3230
(417) 624-2222
(417) 624-2239
Mailing address
1501 S RANGE LINE RD, JOPLIN, MO 64804-3230
(417) 624-2222
(417) 624-2239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44129
MO
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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