Individual
PATRINA JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY
Contact information
Practice address
167 E WALNUT PARK DR, PHILA, PA 19120-1024
(610) 834-1122
Mailing address
167 E WALNUT PARK DR, PHILA, PA 19120-1024
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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