Individual
JEREMY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1151 E MCKELLIPS RD, MESA, AZ 85203-2626
(480) 733-0437
Mailing address
3344 S BOWMAN RD, APACHE JUNCTION, AZ 85119-3682
(480) 859-5445
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T078826
AZ
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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