Individual
DR. CANDACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
34 VAN BRUNT MANOR RD, SETAUKET, NY 11733-3939
(516) 398-3990
Mailing address
34 VAN BRUNT MANOR RD, SETAUKET, NY 11733-3939
(516) 398-3990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041994
NY
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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