Individual
DR. BLAINE TEMPLAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHD
Contact information
Practice address
12032 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5910
(405) 735-3950
Mailing address
12032 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5910
(405) 735-3950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11002
OK
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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