Provider Demographics
NPI:1033713276
Name:SMITH, ELIZABETH MCCRARY (PHARND)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MCCRARY
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARND
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MCCRARY
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:321 BROWNS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37419-1546
Mailing Address - Country:US
Mailing Address - Phone:423-821-8870
Mailing Address - Fax:
Practice Address - Street 1:321 BROWNS FERRY RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37419-1546
Practice Address - Country:US
Practice Address - Phone:423-821-8870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist