MEDICARE: DR. SUSAN CLAIRE SMOLINSKE PHARM.D.

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
1	1835P1200X	Pharmacotherapy Pharmacist	5302029876	MI

General Provider Information

NPI Number	:	1124012778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN CLAIRE SMOLINSKE PHARM.D.

Provider Business Mailing Address
First Line	:	1594 WOODGATE DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-5523
Country	:	US
Telephone Number	:	248-528-0652
Fax Number	:	313-745-5493

Provider Business Practice Location Address
First Line	:	4160 JOHN R ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2020
Country	:	US
Telephone Number	:	313-745-5430
Fax Number	:	313-745-5493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. SUSAN CLAIRE SMOLINSKE PHARM.D.” Practice Location

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