Individual
SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3864 US HIGHWAY 80 W, PHENIX CITY, AL 36870-6526
(334) 408-6068
Mailing address
25 CHURCHHILL DR, FORT MITCHELL, AL 36856-5612
(928) 277-6157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20034
AL
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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