Individual
TONY J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
70 S 100 W, BEAVER, UT 84713-0825
(435) 421-1835
Mailing address
PO BOX 825, BEAVER, UT 84713-0825
(435) 421-1835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3089284-1701
UT
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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