Individual
AMY MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 353-3700
Mailing address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 353-3700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031874A
IN
183500000X
Pharmacist
Primary
5302416514
MI
Other
Enumeration date
08/14/2024
Last updated
05/21/2026
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