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NPI Code Detail

MEDICARE: ROBERT MARTIN SMITH RPH

MEDICARE: ROBERT MARTIN SMITH RPH
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
1183500000XPharmacist9556AL

General Provider Information

NPI Number : 1942525118
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MARTIN SMITH RPH
Provider Business Mailing Address
First Line : PO BOX 277
Second Line :
City : ELKMONT
State : AL
Zip : 35620-0277
Country : US
Telephone Number : 256-732-4565
Fax Number : 256-732-4988
Provider Business Practice Location Address
First Line : 25462 AL HIGHWAY 127
Second Line :
City : ELKMONT
State : AL
Zip : 35620-6608
Country : US
Telephone Number : 256-732-4565
Fax Number : 256-732-4988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2010
Last Update Date : 03/31/2010

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Directions to “ ROBERT MARTIN SMITH RPH” Practice Location

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