MEDICARE: MR. RICHARD F. 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	183500000X	Pharmacist	RP024400L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	903297	OTHER	PA	MUNICIPAL POLICE

General Provider Information

NPI Number	:	1245313667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD F. SMITH

Provider Business Mailing Address
First Line	:	3944 STATE ROUTE 711
Second Line	:
City	:	LIGONIER
State	:	PA
Zip	:	15658-9789
Country	:	US
Telephone Number	:	724-238-7344
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 S FAIRFIELD ST
Second Line	:
City	:	LIGONIER
State	:	PA
Zip	:	15658-1163
Country	:	US
Telephone Number	:	724-238-6988
Fax Number	:

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

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. RICHARD F. SMITH ” Practice Location

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