MEDICARE: CHARITY 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	S021939	AZ

General Provider Information

NPI Number	:	1316490535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITY SMITH PHARMD

Provider Business Mailing Address
First Line	:	7050 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-5113
Country	:	US
Telephone Number	:	520-790-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	7050 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-5113
Country	:	US
Telephone Number	:	520-790-9492
Fax Number	:

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

Provider Enumeration Date	:	07/25/2016
Last Update Date	:	07/25/2016

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Directions to “ CHARITY SMITH PHARMD” Practice Location

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