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Individual

STEPHEN M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
102 2ND ST, CORALVILLE, IA 52241-2606
(319) 341-6153
Mailing address
215 N SHERMAN ST, STUART, IA 50250-1005
(760) 828-2039

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22924
IA

Other

Enumeration date
12/16/2019
Last updated
12/16/2019
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