Individual
MR. IVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4059 NC HWY 105, RITE AID PHARMACY, SUGAR MOUNTAIN, NC 28604
(828) 898-8971
Mailing address
4059 NC HWY 105, RITE AID PHARMACY, SUGAR MOUNTAIN, NC 28604
(828) 898-8971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21444
NC
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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