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NPI Code Detail

MEDICARE: SMITH THOMAS RPH

MEDICARE: SMITH THOMAS RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS49680FL

General Provider Information

NPI Number : 1023357365
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMITH THOMAS RPH
Provider Business Mailing Address
First Line : 12966 MEADOWOOD CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4807
Country : US
Telephone Number : 954-913-6206
Fax Number :
Provider Business Practice Location Address
First Line : 16000 N CLEVELAND AVE
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-2107
Country : US
Telephone Number : 239-656-3419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2013
Last Update Date : 02/06/2013

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Directions to “ SMITH THOMAS RPH” Practice Location

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