MEDICARE: DONALD SMITH-ARIZMENDI 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
1	183500000X	Pharmacist	43654	CA

General Provider Information

NPI Number	:	1639456056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD SMITH-ARIZMENDI PHARMD

Provider Business Mailing Address
First Line	:	3535 S LA CIENEGA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4407
Country	:	US
Telephone Number	:	310-895-1132
Fax Number	:	310-895-1132

Provider Business Practice Location Address
First Line	:	3535 S LA CIENEGA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4407
Country	:	US
Telephone Number	:	310-895-1132
Fax Number	:	310-895-1132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	11/14/2011

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