Individual
KATHERINE JOANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
(765) 497-9562
Mailing address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018679A
IN
Other
Enumeration date
11/19/2020
Last updated
10/21/2022
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