Individual
GARY O SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17788 147TH ST SE, MONROE, WA 98272-1030
(360) 794-7351
(360) 794-5751
Mailing address
PO BOX 470, LAKE STEVENS, WA 98258-0470
(360) 794-7234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009189
WA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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