Individual
LISA MERRITT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2202 PALMYRA RD, ALBANY, GA 31701-1322
(229) 439-4961
Mailing address
4833 MARLBOROUGH AVE, ALBANY, GA 31721-9018
(229) 436-4622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15777
GA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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