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NPI Code Detail

MEDICARE: BERRYE SCOTT SMITH R.PH.

MEDICARE: BERRYE SCOTT SMITH R.PH.
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
1183500000XPharmacist9023OK
2183500000XPharmacist6309AR

General Provider Information

NPI Number : 1346392388
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERRYE SCOTT SMITH R.PH.
Provider Business Mailing Address
First Line : 2220 S R ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-5728
Country : US
Telephone Number : 479-462-3853
Fax Number :
Provider Business Practice Location Address
First Line : 2100 N 62ND ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72904-5163
Country : US
Telephone Number : 479-798-5961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 03/19/2021

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Directions to “ BERRYE SCOTT SMITH R.PH.” Practice Location

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