Rickey Smotherman, Rph
Pharmacist in Olla, LA. Individual provider (NPI-1).
NPI number1306117973
StatusActive
Last updated in NPPESJan 13, 2012
Details
- NPI
- 1306117973
- Entity type
- Individual (NPI-1)
- Name
- Rickey Smotherman
- Credential
- Rph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2012
- Last updated
- Jan 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 011737 | LA | Yes |
Practice location
2832 Front StreetOlla, LA 71465
Phone 318-495-5155 · Fax 318-495-5635
Mailing address
Po Box 699Olla, LA 71465-0699
Phone 318-495-5155 · Fax 318-495-5635
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