Provider Demographics
NPI:1073625778
Name:SMITH, MARGARET LEWIS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LEWIS
Last Name:SMITH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:36320-0465
Mailing Address - Country:US
Mailing Address - Phone:334-691-4567
Mailing Address - Fax:
Practice Address - Street 1:424 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:ASHFORD
Practice Address - State:AL
Practice Address - Zip Code:36312
Practice Address - Country:US
Practice Address - Phone:334-899-3100
Practice Address - Fax:334-899-3186
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9158183500000X
FL22988183500000X
GA20356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist