Individual
GABRIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1414 W FAIR AVE STE 133, MARQUETTE, MI 49855-5408
(906) 225-3902
Mailing address
1414 W FAIR AVE STE 133, MARQUETTE, MI 49855-5408
(906) 225-3902
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302041262
MI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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