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NPI Code Detail

MEDICARE: CYNTHIA J SMITH RPH

MEDICARE: CYNTHIA J SMITH RPH
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
1183500000XPharmacist31638TN

General Provider Information

NPI Number : 1326322371
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA J SMITH RPH
Provider Business Mailing Address
First Line : 2401 N OCOEE ST
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3853
Country : US
Telephone Number : 423-476-5548
Fax Number : 423-472-5329
Provider Business Practice Location Address
First Line : 2401 N OCOEE ST
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3853
Country : US
Telephone Number : 423-476-5548
Fax Number : 423-472-5329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 10/07/2011

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Directions to “ CYNTHIA J SMITH RPH” Practice Location

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