Provider Demographics
NPI:1124012778
Name:SMOLINSKE, SUSAN CLAIRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:CLAIRE
Last Name:SMOLINSKE
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 1:1594 WOODGATE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5523
Mailing Address - Country:US
Mailing Address - Phone:248-528-0652
Mailing Address - Fax:313-745-5493
Practice Address - Street 1:4160 JOHN R ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2020
Practice Address - Country:US
Practice Address - Phone:313-745-5430
Practice Address - Fax:313-745-5493
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020298761835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy