Provider Demographics
NPI:1174739981
Name:SMYTH, JOHN BYRON (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:BYRON
Last Name:SMYTH
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 1:103 CURRITUCK DR
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-8937
Mailing Address - Country:US
Mailing Address - Phone:252-426-3093
Mailing Address - Fax:
Practice Address - Street 1:103 CURRITUCK DR
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-8937
Practice Address - Country:US
Practice Address - Phone:252-426-3093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist