Individual
DR. NATHAN DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
405 FAIRMONT RD, WESTOVER, WV 26501-4227
(304) 295-2547
Mailing address
522 GREENE ST, NEWPORT, OH 45768-9784
(304) 588-1186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008131
WV
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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