MR. Herman Shane Smith

NPI #1104421643 in Meadville, Mississippi

Provider Information

NPI Number: 1104421643
Entity Type: Individual
Name: MR. Herman Shane Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 82 MAIN ST W
City: Meadville
State: Mississippi
ZIP Code: 39653-9320
Phone: (601) 384-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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