Individual
JARROD MALCOLM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
628 MADISON ST, FREDONIA, KS 66736-1338
(620) 378-4422
Mailing address
1702 N 3RD ST, NEODESHA, KS 66757-1117
(785) 215-7730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107262
KS
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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