Individual
MRS. LILLIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W FALLS CT, O'FALLON, MO 63368-9646
(636) 329-9659
Mailing address
601 W FALLS CT, DARDENNE PRAIRIE, MO 63368-9646
(636) 329-9659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027706
MO
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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