MEDICARE: MARINA SMITH

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	183700000X	Pharmacy Technician	321090	TX

General Provider Information

NPI Number	:	1184562910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA SMITH

Provider Business Mailing Address
First Line	:	568 PERCH MDW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5777
Country	:	US
Telephone Number	:	726-220-5203
Fax Number	:

Provider Business Practice Location Address
First Line	:	15489 CULEBRA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4602
Country	:	US
Telephone Number	:	726-210-0939
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ MARINA SMITH ” Practice Location

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