Individual
MICHAEL SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5455 ROBERTS ST, SHAWNEE, KS 66226-3937
(913) 667-1728
Mailing address
3310 W 74TH TER, PRAIRIE VILLAGE, KS 66208-3241
(913) 660-6035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107268
KS
183500000X
Pharmacist
2019031422
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1176234
NATIONAL ASSOCIATION OF BOARDS OF PHARMACY
—
Enumeration date
07/24/2023
Last updated
07/24/2023
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