Individual
MR. LANCER PARKS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8985 MOFFETT RD, SEMMES, AL 36575-5311
(251) 645-7979
(251) 645-9008
Mailing address
8985 MOFFETT RD, SEMMES, AL 36575-5311
(251) 645-7979
(251) 645-9008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12417
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12417
ALABAMA STATE LICENSE NUMBER
AL
Enumeration date
08/29/2021
Last updated
08/29/2021
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