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General NPI Number Information
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NPI Number | 1548778756
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Entity Type | Individual
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Provider Name | JOHN F SMASAL RPH
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Gender | Male
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 430 SE 192ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-9531
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Country | US
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Telephone | 425-281-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 2969 W 8TH ST
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City | WASHOUGAL
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State | WA
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Zip | 98671-8577
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Country | US
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Telephone | 425-281-9591
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Fax | 888-459-4938
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60210143
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0012505
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43155
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 12505
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0012505
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License Number State | OR
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