MEDICARE: DAVID L SMITHWICK

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	183500000X	Pharmacist	11451	NC

General Provider Information

NPI Number	:	1225478332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L SMITHWICK

Provider Business Mailing Address
First Line	:	300 MARKET ST
Second Line	:	SUITE 114
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4493
Country	:	US
Telephone Number	:	919-240-4084
Fax Number	:	919-240-4084

Provider Business Practice Location Address
First Line	:	300 MARKET ST
Second Line	:	SUITE 114
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4493
Country	:	US
Telephone Number	:	919-240-4084
Fax Number	:	919-240-4084

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

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	07/03/2013

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Directions to “ DAVID L SMITHWICK ” Practice Location

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