Individual
MR. DOUGLAS LEROY SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1015 LEE DR STE 11, CLARKSDALE, MS 38614-3619
(662) 627-7857
(662) 627-7225
Mailing address
1015 LEE DR STE 11, CLARKSDALE, MS 38614-3619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14427
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035351
—
MS
Enumeration date
01/12/2021
Last updated
01/12/2021
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