Individual
REAGAN JOAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LAFOLLETTE STA S, FLOYDS KNOBS, IN 47119-9776
(812) 923-0412
Mailing address
1303 CEDAR CHASE DR, LANESVILLE, IN 47136-0019
(502) 396-8883
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67036258A
IN
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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