Individual
TABETHA W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11809 AL HIGHWAY 157, MOULTON, AL 35650-2707
(256) 974-7663
(256) 905-0320
Mailing address
1070 COUNTY ROAD 129, MOUNT HOPE, AL 35651-9301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10841
AL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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