Individual
MR. BERTRAND RA;SHAD SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1050 W SHADY GROVE RD, IRVING, TX 75060-5867
(972) 254-0305
Mailing address
1050 W SHADY GROVE RD, IRVING, TX 75060-5867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76556
TX
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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