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NPI Code Detail

MEDICARE: DR. THOMAS PAUL SMITH PHARMD

MEDICARE: DR. THOMAS PAUL 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
1183500000XPharmacist44419TX

General Provider Information

NPI Number : 1699002436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS PAUL SMITH PHARMD
Provider Business Mailing Address
First Line : 12390 EDGEMERE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-4464
Country : US
Telephone Number : 915-849-6849
Fax Number : 915-849-6764
Provider Business Practice Location Address
First Line : 12390 EDGEMERE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-4464
Country : US
Telephone Number : 915-849-6849
Fax Number : 915-849-6764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 11/16/2009

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