| Doctor Name: | MRS. MICHELLE LYNN SMITH |
| NPI Number: | 1134231319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.PH.T. |
| License Number: | 2501-0103-0358-700 |
| Business Practice Address: | 105300 Overseas Hwy Key Largo, FL - 330373001 |
| Business Phone Number: | 3054513591 |
| Business Fax Number: | |
| Mailing Address: | 29400 Sw 199th Ave, HOMESTEAD |
| State: | FL |
| Postal Code: | 330302123 |
| Phone Number: | 3052455413 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 2501-0103-0358-700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |