Individual
DR. CLINTON JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 459-3807
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 459-3807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1772
AK
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1772
AK
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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