Individual
MR. GREGORY MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
Mailing address
551 G ST, FORKS, WA 98331-9125
(206) 992-4704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60222506
WA
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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