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NPI Code Detail

MEDICARE: MRS. BRENDA SUE SMITH PHARMD

MEDICARE: MRS. BRENDA SUE 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
1183500000XPharmacist1-13732KS

General Provider Information

NPI Number : 1073897450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA SUE SMITH PHARMD
Provider Business Mailing Address
First Line : 5647 NW BRICKYARD RD
Second Line :
City : TOPEKA
State : KS
Zip : 66618-3104
Country : US
Telephone Number : 785-286-1956
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1601
Country : US
Telephone Number : 785-354-1470
Fax Number : 785-354-7782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 10/04/2011

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Directions to “ MRS. BRENDA SUE SMITH PHARMD” Practice Location

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