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General NPI Number Information
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NPI Number | 1821315821
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Entity Type | Individual
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Provider Name | KATHERINE J.D. SMITH RPH
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Gender | Female
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 802 E MEDICAL CT
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City | POST FALLS
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State | ID
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Zip | 83854-7298
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Country | US
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Telephone | 208-773-3566
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Fax | 208-777-8239
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Provider Business Mailing Address
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Address Line | PO BOX 2044
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City | SANDPOINT
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State | ID
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Zip | 83864-0906
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Country | US
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Telephone | 208-597-1587
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Fax | 208-265-6338
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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 | P5165
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License Number State | ID
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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 | PH 00017676
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License Number State | WA
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