Individual
MATTHEW THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2010 YAKIMA VALLEY HWY, SUNNYSIDE, WA 98944-1288
(509) 839-2711
(509) 839-4768
Mailing address
2010 YAKIMA VALLEY HIGHWAY, SUNNYSIDE, WA 98944
(509) 839-2711
(509) 839-4768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60134853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHARMACIST183500000X
—
WA
Enumeration date
05/19/2011
Last updated
05/19/2011
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