Individual
MR. GREGORY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10170 MAYSVILLE RD, FORT WAYNE, IN 46835-9589
(260) 486-7295
(260) 486-9395
Mailing address
10170 MAYSVILLE RD, FORT WAYNE, IN 46835-9589
(260) 486-7295
(260) 486-9395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014663A
IN
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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