Individual
DAVID MICHAEL SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
155 MAIN ST, C/O MEANS-LAUF SUPER DRUG, BROOKVILLE, PA 15825-1281
(814) 849-7504
(814) 849-6332
Mailing address
19 ERICA DR, INDIANA, PA 15701-8940
(724) 349-3168
(814) 849-6332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP029174L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP029174L
STATE LICENSE
PA
Enumeration date
07/21/2005
Last updated
07/08/2007
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