Individual
TIMOTHY B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 NORTH 400 EAST, PANGUITCH, UT 84759-0389
(435) 676-1277
(435) 676-2679
Mailing address
180 EAST 300 NORTH, PO BOX 204, PANGUITCH, UT 84759-0204
(435) 676-8747
(435) 676-2679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153942-1719
UT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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