Individual
CHRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 SPIRIT LAKE RD, WINTER HAVEN, FL 33880-1226
(863) 293-5007
Mailing address
1090 SPIRIT LAKE RD, WINTER HAVEN, FL 33880-1226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS25056
FL
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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