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Individual

ERIC L. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029804
MO

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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