MEDICARE: DR. STEVEN CRAIG SMITH SR. PHARM.D.

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	35690	TX

General Provider Information

NPI Number	:	1265032296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CRAIG SMITH SR. PHARM.D.

Provider Business Mailing Address
First Line	:	108 SILVERWOOD DR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 HIGHWAY 287
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-2816
Country	:	US
Telephone Number	:	817-563-6232
Fax Number	:	817-563-6630

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

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	10/28/2020

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Directions to “ DR. STEVEN CRAIG SMITH SR. PHARM.D.” Practice Location

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