Individual
NANCY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 S PRICKLY PEAR AVE, BENSON, AZ 85602-6446
(520) 586-0754
Mailing address
1590 BABY BEAR RD, DURANGO, CO 81301-8901
(520) 678-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15723
CO
183500000X
Pharmacist
7927
NM
183500000X
Pharmacist
P4677
ID
183500000X
Pharmacist
Primary
S018804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15723
REGISTERED PHARMACIST
CO
01
—
7927
REGISTERED PHARMACIST
NM
01
—
P4677
REGISTERED PHARMACIST
ID
01
—
S018804
REGISTERED PHARMACIST
AZ
Enumeration date
10/16/2016
Last updated
10/16/2016
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