Individual
DR. MICHAEL IRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHD
Contact information
Practice address
5605 W GLENDALE AVE, GLENDALE, AZ 85301-2524
(623) 934-7926
Mailing address
PO BOX 13242, SCOTTSDALE, AZ 85267-3242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013524
AZ
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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