Individual
JUSTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPP
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
6194 BROOKMEADE CIR, GROVE CITY, OH 43123-9084
(717) 779-7614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451839
PA
1835P1300X
Psychiatric Pharmacist
Primary
RP451839
PA
Other
Enumeration date
09/11/2017
Last updated
04/14/2026
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