Individual
MR. JASON CHRISTOPHER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
13201 STEPHENS RD STE G, WARREN, MI 48089-4340
(734) 656-4082
Mailing address
13201 STEPHENS RD STE G, WARREN, MI 48089-4340
(734) 656-4082
(877) 899-6360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027896
MI
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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