Individual
DR. GARY LANE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1110
Mailing address
25 LORING ST, APT 2, SOMERVILLE, MA 02143-2813
(617) 529-8663
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26947
MA
Other
Enumeration date
01/02/2007
Last updated
05/27/2015
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