Individual provider · Type 1 NPI

Mavis Lynne Smith, RPH

Pharmacist · Granite City, IL

NPI number 1063734879 Active

Practice location

3100 Madison Ave
Granite City, IL 62040

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0021566 (CO)
Pharmacist 183500000X041315 (MO)
Pharmacist Primary 183500000X051-034990 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1063734879

Mavis Lynne Smith, RPH's National Provider Identifier is 1063734879, issued on Feb 20, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Granite City, IL. The record was last updated on Jul 14, 2018.