Provider Demographics
NPI:1235316035
Name:SMITH, CLAIRE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:
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:P.O.BOX 311
Mailing Address - Street 2:ALMAND'S DRUG STORE
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27802-0311
Mailing Address - Country:US
Mailing Address - Phone:252-442-5126
Mailing Address - Fax:252-442-8036
Practice Address - Street 1:130 SW MAIN STREET
Practice Address - Street 2:ALMAND'S DRUG STORE
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801
Practice Address - Country:US
Practice Address - Phone:252-442-5126
Practice Address - Fax:252-442-8036
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist