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Mary O Smith

Pharmacist in Albany, NY. Individual provider (NPI-1).

NPI number1265755201
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1265755201
Entity type
Individual (NPI-1)
Name
Ms. Mary O Smith
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2010
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist052503NYYes

Practice location

153 Central Ave Ste 1
Albany, NY 12206-2941

Phone 518-463-1362

Mailing address

153 Central Ave Ste 1
Albany, NY 12206-2941

Phone 518-463-1362

Other practice locations

613 New Scotland Ave
Albany, NY 12208-1902

Phone 518-482-4996 · Fax 518-482-5351

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