MEDICARE: DR. JARED HEATH SMITH PHARMD, RPH

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	RPH03232897	OH

General Provider Information

NPI Number	:	1447660329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED HEATH SMITH PHARMD, RPH

Provider Business Mailing Address
First Line	:	2409 WESTMOOR RD
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-2847
Country	:	US
Telephone Number	:	419-348-5193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1391 CONANT ST
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-1609
Country	:	US
Telephone Number	:	419-891-8710
Fax Number	:

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

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	05/01/2014

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