Individual
DONAVAN THALES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
128 SOUTH 300 WEST, BICKNELL, UT 84715
(435) 425-3972
(435) 425-3923
Mailing address
375 S 300 E, MONROE, UT 84754-4429
(435) 527-3972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
260884-1701
UT
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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