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Beverly Jean Smith

Pharmacist in Palm Bay, FL. Individual provider (NPI-1).

NPI number1295339596
StatusActive
Last updated in NPPESNov 26, 2020

Details

NPI
1295339596
Entity type
Individual (NPI-1)
Name
Mrs. Beverly Jean Smith
Sex
Female
Sole proprietor
No
Enumeration date
Nov 26, 2020
Certification date
Nov 26, 2020
Last updated
Nov 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS0032835FLYes

Practice location

1101 Malabar Rd Ne
Palm Bay, FL 32907-3261

Phone 321-984-5477 · Fax 321-984-0750

Mailing address

1101 Malabar Rd Ne
Palm Bay, FL 32907-3261

Phone 321-984-5477 · Fax 321-984-0750

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