Individual provider · Type 1 NPI

Jerry J. Smith, DPH

Pharmacist · Stilwell, OK

NPI number 1770817595 Active

Practice location

RR 2 Box 93
Stilwell, OK 74960

Mailing address

402 Greenwood Dr
Tahlequah, OK 74464-4815

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X8893 (OK)
Pharmacist 183500000X9041 (KS)

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…

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About NPI 1770817595

Jerry J. Smith, DPH's National Provider Identifier is 1770817595, issued on Sep 25, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Stilwell, OK. The record was last updated on Sep 25, 2009.