Individual
COLIN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4815 BROADWAY, DEPEW, NY 14043-3926
(716) 683-7971
Mailing address
4815 BROADWAY, DEPEW, NY 14043-3926
(716) 683-7971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070602
NY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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