MEDICARE: CHADWICK M SMITH PHARMD

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	374934-1701	UT

General Provider Information

NPI Number	:	1245830108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHADWICK M SMITH PHARMD

Provider Business Mailing Address
First Line	:	7494 S 2135 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-4970
Country	:	US
Telephone Number	:	801-688-2652
Fax Number	:	801-569-9974

Provider Business Practice Location Address
First Line	:	7494 S 2135 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-4970
Country	:	US
Telephone Number	:	801-688-2652
Fax Number	:	801-569-9974

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

Provider Enumeration Date	:	10/29/2020
Last Update Date	:	10/29/2020

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Directions to “ CHADWICK M SMITH PHARMD” Practice Location

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