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General NPI Number Information
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NPI Number | 1619023975
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Entity Type | Individual
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Provider Name | DAVID MARK SMITH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 610 E ROMIE LN STE 1
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City | SALINAS
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State | CA
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Zip | 93901-4209
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Country | US
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Telephone | 831-758-0976
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Fax |
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Provider Business Mailing Address
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Address Line | 210 16TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4929
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Country | US
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Telephone | 831-479-0415
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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 | 36789
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License Number State | CA
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