Individual
MS. DANIELLE N SMYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2002 SPRUCE HILLS DR, BETTENDORF, IA 52722-2627
(660) 947-2411
(660) 947-3825
Mailing address
11 SUNSET DR, CORDOVA, IL 61242-9711
(660) 216-0595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045226
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356215103
—
MO
Enumeration date
06/05/2007
Last updated
01/14/2021
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