Individual
JASON WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3532
(334) 732-3535
Mailing address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3532
(334) 732-3535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12724
AL
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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