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Individual

DR. BRIAN KEITH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3081 N HIGHWAY 112, FAYETTEVILLE, AR 72704-7436
(479) 587-1853
Mailing address
3081 N HIGHWAY 112, FAYETTEVILLE, AR 72704-7436

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11576
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0420264
NABP
Enumeration date
10/27/2020
Last updated
11/27/2023
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