Individual
EDDIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5605 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6022
(817) 577-5030
Mailing address
5502 RIDGEDALE AVE, DALLAS, TX 75206-6014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62780
TX
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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