MEDICARE: REBECCA SMITH PHARM D

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	15990	AL

General Provider Information

NPI Number	:	1811272412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SMITH PHARM D

Provider Business Mailing Address
First Line	:	4700 HIGHWAY 280 STE 1
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5165
Country	:	US
Telephone Number	:	205-991-1599
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 HIGHWAY 280 STE 1
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5165
Country	:	US
Telephone Number	:	205-991-1599
Fax Number	:

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

Provider Enumeration Date	:	10/14/2011
Last Update Date	:	10/14/2011

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Directions to “ REBECCA SMITH PHARM D” Practice Location

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