Individual
LYLE RAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
55 JFK RD, DUBUQUE, IA 52002-5309
(563) 556-3705
Mailing address
55 JFK RD, DUBUQUE, IA 52002-5309
(563) 556-3705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15556
IA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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