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NPI Code Detail

MEDICARE: MRS. LORI SMITH PHARMD

MEDICARE:  MRS. LORI  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
1183500000XPharmacistPS36197FL

General Provider Information

NPI Number : 1346517935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI SMITH PHARMD
Provider Business Mailing Address
First Line : 2772 SW PALACE AVE
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34987-2075
Country : US
Telephone Number : 954-288-5674
Fax Number :
Provider Business Practice Location Address
First Line : 1705 US HIGHWAY 1
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5544
Country : US
Telephone Number : 772-569-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2011
Last Update Date : 11/26/2011

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Directions to “ MRS. LORI SMITH PHARMD” Practice Location

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