Individual
AMY ISBELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MAIN STREET, NORMANGEE, TX 77871
(936) 396-1412
Mailing address
PO BOX 100, NORMANGEE, TX 77871-0100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57151
TX
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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