Provider Demographics
NPI:1104373299
Name:SMITH, ROBERT FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:SMITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W LOWRY LN
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3020
Mailing Address - Country:US
Mailing Address - Phone:859-276-2119
Mailing Address - Fax:859-276-2938
Practice Address - Street 1:150 W LOWRY LN
Practice Address - Street 2:SUITE 190
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3020
Practice Address - Country:US
Practice Address - Phone:859-276-2119
Practice Address - Fax:859-276-2938
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist