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General NPI Number Information
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NPI Number | 1568030773
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Entity Type | Individual
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Provider Name | CONNOR KAMM SMITH PHARM D
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Gender | Male
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 11019 CANYON RD E
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City | PUYALLUP
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State | WA
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Zip | 98373-3001
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Country | US
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Telephone | 425-259-1180
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Fax | 425-595-2950
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 206-860-5414
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Fax |
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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 | PH61187298
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License Number State | WA
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