Individual
CHARLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 W WATERS AVE, TAMPA, FL 33604-2764
(813) 933-3458
Mailing address
2310 W WATERS AVE, TAMPA, FL 33604-2764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35119
FL
Other
Enumeration date
11/01/2013
Last updated
01/10/2014
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