Individual
DR. JONALAN DUANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5809 ALHAMBRA ST, FAIRWAY, KS 66205-3156
(785) 840-7007
Mailing address
5809 ALHAMBRA ST, FAIRWAY, KS 66205-3156
(785) 840-7007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14263
KS
183500000X
Pharmacist
2007021861
MO
183500000X
Pharmacist
PH100000376
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14263
STATE BOARD OF PHARMACY
KS
Enumeration date
07/19/2006
Last updated
01/03/2016
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