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NPI Code Detail

MEDICARE: DR. BRIAN KEITH SMITH PHARMD

MEDICARE:  DR. BRIAN KEITH 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
1183500000XPharmacistPD11576AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10420264OTHERNABP

General Provider Information

NPI Number : 1801496120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN KEITH SMITH PHARMD
Provider Business Mailing Address
First Line : 3081 N HIGHWAY 112
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-7436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3081 N HIGHWAY 112
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-7436
Country : US
Telephone Number : 479-587-1853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 11/27/2023

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Directions to “ DR. BRIAN KEITH SMITH PHARMD” Practice Location

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