MR. Jerold Robert Smith, RPH

NPI #1396391090 in Elkhart, Indiana

Provider Information

NPI Number: 1396391090
Entity Type: Individual
Name: MR. Jerold Robert Smith, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 18, 2019
Last Updated: Aug 18, 2019

Practice Location

Address: 551 E JACKSON BLVD
City: Elkhart
State: Indiana
ZIP Code: 46516-3528
Phone: (574) 293-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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