Kandice Smith-Green
NPI #1376826412 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1376826412
- Entity Type
- Individual
- Name
- Kandice Smith-Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 101 CIVIC CENTER DR
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-3027
- Phone
- (636) 561-3963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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