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Individual

JESSICA MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, CPP

Contact information

Practice address
1 MEDICAL CENTER BLVD DEPARTMENT OF PHARMACY, WINSTON SALEM, NC 27157-0001
(336) 713-2045
Mailing address
150 PETERS CREEK PKWY APT 513, WINSTON SALEM, NC 27101-3692

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
40226
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
700079
NC

Other

Enumeration date
09/29/2017
Last updated
09/29/2017
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