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NPI Code Detail

MEDICARE: MISS PHYLLIS MARIE SMITH RPH

MEDICARE: MISS PHYLLIS MARIE 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
1183500000XPharmacist07843NC

General Provider Information

NPI Number : 1952666463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PHYLLIS MARIE SMITH RPH
Provider Business Mailing Address
First Line : 1504 2ND ST NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-2551
Country : US
Telephone Number : 828-322-3037
Fax Number : 828-322-3920
Provider Business Practice Location Address
First Line : 1504 2ND ST NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-2551
Country : US
Telephone Number : 828-322-3037
Fax Number : 828-322-3920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 07/10/2012

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Directions to “ MISS PHYLLIS MARIE SMITH RPH” Practice Location

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