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NPI Code Detail

MEDICARE: CHARMAINE SMARTT

MEDICARE:   CHARMAINE  SMARTT
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
1183500000XPharmacistPS47098FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS47098OTHERFLLICENSE

General Provider Information

NPI Number : 1215350137
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMAINE SMARTT
Provider Business Mailing Address
First Line : 17000 TAMIAMI TRL
Second Line :
City : NORTH PORT
State : FL
Zip : 34287-7281
Country : US
Telephone Number : 941-423-8336
Fax Number : 941-423-8667
Provider Business Practice Location Address
First Line : 17000 TAMIAMI TRL
Second Line :
City : NORTH PORT
State : FL
Zip : 34287-7281
Country : US
Telephone Number : 941-423-8336
Fax Number : 941-423-8667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2014
Last Update Date : 01/29/2014

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