Individual
MACKENZIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506
(360) 493-5369
(360) 493-7154
Mailing address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506-6927
(360) 493-5369
(360) 493-7154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60576263
WA
Other
Enumeration date
09/02/2015
Last updated
07/01/2019
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