Individual
TIMOTHY JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4951 ROE BLVD, ROELAND PARK, KS 66205-1109
(913) 236-6978
Mailing address
4712 QUEAL DR, SHAWNEE, KS 66203-1168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-112035
KS
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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