Individual
JACK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3478
Mailing address
9938 W VILLA HERMOSA, PEORIA, AZ 85383-1472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027553
AZ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up