Healthcare Provider Details

I. General information

NPI: 1497123731
Provider Name (Legal Business Name): MILLIE LYNN SMITH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 RICHMOND PLZ STE 1
RICHMOND KY
40475-2564
US

IV. Provider business mailing address

302 FAYE CT
RICHMOND KY
40475-7873
US

V. Phone/Fax

Practice location:
  • Phone: 859-624-1093
  • Fax:
Mailing address:
  • Phone: 270-849-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018057
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: