Individual
HEATHER ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FAIRMONT AVE, FAIRMONT, WV 26554-2713
(304) 366-6182
Mailing address
300 FAIRMONT AVE, FAIRMONT, WV 26554-2713
(304) 366-6182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010244
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285737643
—
WV
Enumeration date
10/08/2020
Last updated
10/08/2020
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