Doctor Name: | MARIANNE JACKSON SMITH |
NPI Number: | 1861472193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT, ATS, CRTS |
License Number: | 150101586580537 |
Business Practice Address: | 639 Irvin St Cornelia, GA - 305313267 |
Business Phone Number: | 7067784918 |
Business Fax Number: | 7067762502 |
Mailing Address: | Po Box 99, CORNELIA |
State: | GA |
Postal Code: | 305310099 |
Phone Number: | 7067787369 |
Fax Number: | 7067762502 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 150101586580537 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
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. |