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NPI Code Detail

MEDICARE: MAHALA RENEE SMITH PHARMD

MEDICARE: MAHALA RENEE SMITH PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03446664OH

General Provider Information

NPI Number : 1083547574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHALA RENEE SMITH PHARMD
Provider Business Mailing Address
First Line : 4530 EASTGATE BLVD STE 500
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1256
Country : US
Telephone Number : 513-943-6340
Fax Number :
Provider Business Practice Location Address
First Line : 262 W MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1309
Country : US
Telephone Number : 513-718-2220
Fax Number : 513-718-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ MAHALA RENEE SMITH PHARMD” Practice Location

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