Individual
DR. LUCAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
403 US HIGHWAY 24 SOUTH, BUENA VISTA, CO 81211
(719) 395-2481
(719) 395-2484
Mailing address
PO BOX 1670, 403 US HIGHWAY 24 SOUTH, BUENA VISTA, CO 81211-1670
(719) 395-2481
(719) 395-2484
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO1102
COMPREHENSIVE CONTRACEPTIVE EDUCATION PROVIDING CERTIFICATION FOR CO PHARMACIST
CO
Enumeration date
07/21/2014
Last updated
05/23/2023
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