Individual
KELLY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 290-9168
Mailing address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 290-9168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005939
WV
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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