MEDICARE: DR. JOHNNETTE CHRISTI MERCIER-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	0202207310	VA

General Provider Information

NPI Number	:	1811959562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHNNETTE CHRISTI MERCIER-SMITH PHARMD

Provider Business Mailing Address
First Line	:	18TH MEDICAL GROUP
Second Line	:	KADENA AB JAPAN
City	:	APO
State	:	AP
Zip	:	96367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18TH MEDICAL GROUP
Second Line	:	KADENA AB JAPAN
City	:	APO
State	:	AP
Zip	:	96367
Country	:	US
Telephone Number	:	315-630-4598
Fax Number	:

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	01/15/2010

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