Mavis Lynne Smith, RPH
NPI #1063734879 in Granite City, Illinois
Provider Information
- NPI Number
- 1063734879
- Entity Type
- Individual
- Name
- Mavis Lynne Smith, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Feb 20, 2010
- Last Updated
- Jul 14, 2018
Practice Location
- Address
- 3100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040
- Phone
- (618) 451-0521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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