MEDICARE: CAROLINE 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	69735	TX

General Provider Information

NPI Number	:	1790547743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE SMITH PHARMD

Provider Business Mailing Address
First Line	:	7303 S PEEK RD APT 2105
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3709
Country	:	US
Telephone Number	:	817-681-3387
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 S FRY RD STE 285
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-2258
Country	:	US
Telephone Number	:	346-594-1043
Fax Number	:

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

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	01/25/2024

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Directions to “ CAROLINE SMITH PHARMD” Practice Location

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