Individual
KEITH JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4290 W VIENNA RD, CLIO, MI 48420-9454
(810) 564-9351
(810) 564-9354
Mailing address
4290 W VIENNA RD, CLIO, MI 48420-9454
(810) 564-9351
(810) 564-9354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023388
MI
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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