Individual
ALICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 ARLINGTON ST, STE 2000, ADA, OK 74820-2646
(580) 332-5720
(580) 332-5724
Mailing address
1414 ARLINGTON ST, STE 2000, ADA, OK 74820-2646
(580) 332-5720
(580) 332-5724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9128
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9128
OK LICENSE
OK
Enumeration date
10/26/2006
Last updated
05/01/2012
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