MEDICARE: ALEXIS 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	034164	GA

General Provider Information

NPI Number	:	1912606294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS SMITH PHARMD

Provider Business Mailing Address
First Line	:	8008 BARTON DR
Second Line	:
City	:	MIDLAND
State	:	GA
Zip	:	31820-4191
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-1734
Country	:	US
Telephone Number	:	706-563-4502
Fax Number	:

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

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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Directions to “ ALEXIS SMITH PHARMD” Practice Location

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