Individual
KATI LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1109336
IL
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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