Individual
DR. BRANDON LANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
530 E MAIN ST, JACKSON, OH 45640-2127
(740) 286-6400
Mailing address
530 E MAIN ST, JACKSON, OH 45640-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03439837
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
07/07/2020
Last updated
07/07/2020
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