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NPI Code Detail

MEDICARE: JOEL SMITH

MEDICARE:   JOEL  SMITH
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
1183500000XPharmacist16811MD

General Provider Information

NPI Number : 1265848378
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL SMITH
Provider Business Mailing Address
First Line : 1418 W OLD COLD SPRING LN
Second Line :
City : BALTIMORE
State : MD
Zip : 21209-4920
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1418 W OLD COLD SPRING LN
Second Line :
City : BALTIMORE
State : MD
Zip : 21209-4920
Country : US
Telephone Number : 410-871-1203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 07/09/2014

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Directions to “ JOEL SMITH ” Practice Location

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