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NPI Code Detail

MEDICARE: MRS. LORI L SMILEY R.PH.

MEDICARE: MRS. LORI L SMILEY R.PH.
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
1183500000XPharmacistPS35442FL

General Provider Information

NPI Number : 1083909626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI L SMILEY R.PH.
Provider Business Mailing Address
First Line : 3200 N FEDERAL HWY
Second Line : T-1163
City : FORT LAUDERDALE
State : FL
Zip : 33306-1062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 N FEDERAL HWY
Second Line : T-1163
City : FORT LAUDERDALE
State : FL
Zip : 33306-1062
Country : US
Telephone Number : 954-390-7056
Fax Number : 954-390-7056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2011
Last Update Date : 06/11/2011

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