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NPI Code Detail

MEDICARE: JEREMIAH SMITH PHARMD

MEDICARE: JEREMIAH SMITH PHARMD
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
1183500000XPharmacist17631AL
2183500000XPharmacist26025069AIN

General Provider Information

NPI Number : 1033525613
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMIAH SMITH PHARMD
Provider Business Mailing Address
First Line : 101 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 205-942-3668
Fax Number :
Provider Business Practice Location Address
First Line : 101 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 205-942-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2014
Last Update Date : 07/03/2014

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Directions to “ JEREMIAH SMITH PHARMD” Practice Location

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