Individual
MR. JEFFERY OWEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
3020 E MAIN ST, LOT V-120, MESA, AZ 85213-9488
(480) 325-7648
Mailing address
3020 E MAIN ST LOT V120, MESA, AZ 85213-9539
(480) 325-7648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13501
AZ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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