Individual
LISA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5409 S 60TH PL, ROGERS, AR 72758-8230
(765) 404-9228
Mailing address
5409 S 60TH PL, ROGERS, AR 72758-8230
(765) 404-9228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14392
AR
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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