Individual
NICHOLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 W DOCTOR M.L.K. JR BLVD, TAMPA, FL 33607
(813) 870-4000
Mailing address
13440 DEL PRADO DR S, LARGO, FL 33774-5403
(727) 596-0771
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 16453
FL
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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