Individual
DR. ROGER ALAN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
320 W SUMMIT AVE, WALES, WI 53183-9436
(262) 968-6900
(262) 968-3714
Mailing address
320 W SUMMIT AVE, WALES, WI 53183-9436
(262) 968-6900
(262) 968-3714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18665-40
WI
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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