Healthcare Provider Details

I. General information

NPI: 1861731911
Provider Name (Legal Business Name): MURRY LEE ALEXANDER SMITH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2013
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 S HWY 27
CLERMONT FL
34711-5349
US

IV. Provider business mailing address

4351 S HWY 27
CLERMONT FL
34711-5349
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-2915
  • Fax:
Mailing address:
  • Phone: 352-394-2915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number020491
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-12309
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0000036367
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59929
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: