Provider Demographics
NPI:1033960166
Name:SMITH, NATALIA PALOMA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:PALOMA
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 BOUSH ST UNIT 317
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1366
Mailing Address - Country:US
Mailing Address - Phone:916-221-0594
Mailing Address - Fax:
Practice Address - Street 1:450 BOUSH ST UNIT 317
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1366
Practice Address - Country:US
Practice Address - Phone:916-221-0594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221402183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist